Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
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.
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.