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.

• 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.

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.