Billing & Claims Analyst - Hybrid

Overview

Billing and Claims Analyst

Springstone

Hybrid - Western Massachusetts 

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 a Claims Analyst. This role will be a Hybrid role, candidates must be located in Western Massachusetts. 

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 (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.