Springstone · 5 hours ago

Claims Analyst

Louisville, KY

Full-time

Remote

Mid Level

3+ years exp

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Responsibilities

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.

Qualification

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Medicare/Medicaid guidelinesInstitutional (UB04) BillingMedical billing experienceBehavioral healthcare experienceSupervision/management experienceDMH BillingAssociates degree

Required

High school diploma or equivalent required.

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.