[Hiring] Claims Analyst @Lifepoint Health

Role Description

The Analyst, Claims is responsible for managing billing and collections across multiple facilities, ensuring compliance with payor requirements, and maintaining accurate accounts receivable. This role also supports staff in following financial processes and collaborates with internal departments to ensure timely and accurate reimbursement activities.

How you’ll contribute

• 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.
• Acts 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.
• Assigns tasks to staff through billing software as needed.
• Develops, implements, monitors, and evaluates quality assurance activities, ensuring compliance with standards, laws, regulations, and procedures.
• Recommends new and/or revised policies and procedures as needed.
• Reviews and approves all adjustments and refunds for all facilities.
• Attends and prepares for weekly AR Calls.
• Assists with A/R Month End close process.
• Participates in hiring, supervision, and evaluation of assigned staff.

Qualifications

• High school diploma or equivalent required.
• Associates degree preferred.

Requirements

• Working knowledge of Medicare/Medicaid guidelines and Institutional (UB04) Billing Requirements.
• 3-5 years of computerized medical billing experience.
• 1 year experience in behavioral healthcare preferred.

Benefits

• Comprehensive Benefits: Multiple levels of medical, dental, and vision coverage for full-time and part-time employees.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave, and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance, and 401(k) retirement package with company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services, and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.

EEOC Statement

“Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.”

You must be authorized to work in the United States without employer sponsorship.