Billing & Claims Analyst - Remote

Overview

Medical Billing and Claims Analyst

REMOTE

KY RESIDENTS ONLY - MUST LIVE IN OR AROUND LOUISVILLE, KY AREA)

Are you looking to join a growing company whose mission is to help others? Springstone is a leading provider of high quality behavioral health services in numerous markets throughout the United States.

The name Springstone represents the possibilities of hope and renewal anchored by a solid and secure foundation. Springstone fulfills its mission of Changing People’s Lives®.

The Central Business Office is seeking an experienced healthcare billing and Claims Analyst. Must have experience in healthcare billing and claims.

Position Details

• 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.
• 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.

• Attends and prepares for weekly AR Calls.
• Assists with A / R Month End close process.
• Accurately perform billing and collections for multiple facilities for all payors.
• Hybrid role based in Western Massachusetts.

Qualifications

Education :

High school diploma or equivalent required. Associates degree preferred.

Required Experience :

Working knowledge of Medicare / Medicaid guidelines and Institutional (UB) 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.

Preferred Experience :

2-3 years of DMH (Department of Mental Health Adult Services) Billing.

Additional Requirements :

May be required to work flexible hours and overtime.

Will be required to travel to the corporate offices in Louisville, KY for 1-2 weeks of training.