What are the responsibilities and job description for the Claims Analyst position at Springstone Inc?
Overview
Claims Analyst
REMOTE
(KY RESIDENTS ONLY - MUST LIVE IN OR AROUND LOUISVILLE, KY AREA)
At Lifepoint Behavioral Health, we specialize in compassionate behavioral health services, including crisis stabilization for acute mental health and substance use disorders. Our philosophy is built on a psychosocial model of care and follows the core principles of resilience, recovery and restoration. Our teams are committed to providing superior patient care that exceeds industry standards as well as patient expectations.
Benefits:
- Affordable medical, dental and vision plans provided to meet the needs of full employees and their families
- Up to 16 days of PTO for full time employees
- 6 paid holidays for full time employees
- Tuition reimbursement
- 401(k) retirement plan
- Flexible spending and health savings accounts
- UKG Wallet - We've partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to offer employees access to their pay on their own schedule
Position Details
What you will do in this role:
- Accurately performs billing and collections for multiple facilities for all payors.
- Provides professional and technical support to staff. Responds to requests from insurance carriers, family members and patients regarding account balance issues.
- Act as administrator for payor website/log in access.
- Ensures accurate capturing and posting of financial activity and maintains accounts receivable at amounts appropriate for payor and acuity mix for all facilities.
- Actively works with the Utilization departments in all facilities to ensure pre-certifications, certifications, and appeals are completed accurately and in a timely manner.
Qualifications
Qualifications:
- High school diploma or equivalent required. Associates degree preferred.
- Working knowledge of Medicare/Medicaid guidelines and Institutional (UB04) Billing Requirements.
- At least three to five years of computerized medical billing experience, with a minimum of one year experience in behavioral healthcare and three to five years of supervision/management experience in healthcare setting.
- 2-3 years of DMH (Department of Mental Health Adult Services) Billing.
- Will be required to travel to the corporate offices in Louisville, KY for 1-2 weeks of training.
