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.
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Provides professional and technical support to staff. Responds to requests from insurance carriers, family members and patients regarding account balance issues.
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Act as administrator for payor website/log in access.
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Ensures accurate capturing and posting of financial activity and maintains accounts receivable at amounts appropriate for payor and acuity mix for all facilities.
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Actively works with the Utilization departments in all facilities to ensure pre-certifications, certifications, and appeals are completed accurately and in a timely manner.
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Assigns tasks to staff through billing software as needed.
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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.
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Attends and prepares for weekly AR Calls.
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Assists with A/R Month End close process.
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Accurately perform billing and collections for multiple facilities for all payors.
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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 (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.
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.