Claims Analyst jobs in Kentucky

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)

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Billing & Claims Analyst - Hybrid
  • Springstone, Inc.
  • Louisville, KY FULL_TIME
  • 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. 

  • 19 Days Ago

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Logistics Carrier and Claims Analyst
  • NFI Parts
  • Louisville, KY FULL_TIME
  • NFI Parts™ is North America’s most comprehensive organization providing parts, technical publications, training, and support for buses and motor coaches. NFI Parts is the parts division of NFI Group, ...
  • 7 Days Ago

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KY - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Louisville, KY CONTRACTOR,PART_TIME
  • 1099 Property Claims AdjusterCopper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA.Copper Claims Services excels in providing custom claims solutions for ...
  • 3 Days Ago

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NFI Parts Claims and Carrier Analyst
  • New Flyer
  • Louisville, KY FULL_TIME
  • NFI Parts is North America's most comprehensive organization providing parts, technical publications, training, and support for buses and motor coaches. NFI Parts is the parts division of NFI Group, p...
  • 1 Month Ago

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NFI Parts Claims and Carrier Analyst
  • NFI Group Inc.
  • Louisville, KY FULL_TIME
  • NFI Parts™ is North America’s most comprehensive organization providing parts, technical publications, training, and support for buses and motor coaches. NFI Parts is the parts division of NFI Group, ...
  • 1 Month Ago

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Billing & Claims Analyst - Remote (KY and IN residents)
  • Springstone, Inc.
  • Louisville, KY FULL_TIME
  • Overview Medical Billing and Claims Analyst Springstone Remote (KY AND IN RESIDENTS ONLY) Are you looking to join a growing company whose mission is to help others? Springstone is a leading provider o...
  • 24 Days Ago

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Scheduling & Claims Analyst
  • Marathon TS
  • Bethesda, MD
  • Senior Construction Scheduling and Claims Consultant Summary/Objective The Senior Scheduling and Claims Consultant will ...
  • 3/28/2024 12:00:00 AM

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Epic PB Claims Analyst - FTE and REMOTE!!
  • Hctec
  • Miami, FL
  • Positions: Epic PB Claims Analyst (W-2, no 3rd party, no C2C) Start: ASAP Salary Range: $95,000-$110,000 (Analyst IV max...
  • 3/28/2024 12:00:00 AM

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Mechanical Claims Analyst (Remote/Hybrid)
  • JM Family Enterprises
  • Deerfield Beach, FL
  • Who We Are Looking For? Fidelity Warranty Services, Inc. (FWS), a subsidiary of JM&A, is looking for Mechanical Claims A...
  • 3/26/2024 12:00:00 AM

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Epic PB Claims Analyst - FTE and REMOTE!!
  • HCTec
  • Houston, TX
  • Positions: Epic PB Claims Analyst (W-2, no 3rd party, no C2C) Start: ASAP Salary Range: $95,000-$110,000 (Analyst IV max...
  • 3/25/2024 12:00:00 AM

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Epic PB Claims Analyst - FTE and REMOTE!!
  • HCTec
  • Nashville, TN
  • Positions: Epic PB Claims Analyst (W-2, no 3rd party, no C2C) Start: ASAP Salary Range: $95,000-$110,000 (Analyst IV max...
  • 3/25/2024 12:00:00 AM

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Epic PB Claims Analyst - FTE and REMOTE!!
  • HCTec
  • San Diego, CA
  • Positions: Epic PB Claims Analyst (W-2, no 3rd party, no C2C) Start: ASAP Salary Range: $95,000-$110,000 (Analyst IV max...
  • 3/25/2024 12:00:00 AM

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Claims Analyst
  • Kuvare Holdings
  • The Complex Claims Analyst is responsible for handling all Life claims including Living Benefits (disability, waiver of ...
  • 3/24/2024 12:00:00 AM

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Claims Analyst
  • MagMutual LLC
  • Atlanta, GA
  • OVERALL RESPONSIBILITIES: Investigate and manage with minimal supervision primarily litigation and selected high-exposur...
  • 3/24/2024 12:00:00 AM

Kentucky (/kənˈtʌki/ (listen) kən-TUK-ee), officially the Commonwealth of Kentucky, is a state located in the east south-central region of the United States. Although styled as the "State of Kentucky" in the law creating it, (because in Kentucky's first constitution, the name state was used) Kentucky is one of four U.S. states constituted as a commonwealth (the others being Virginia, Pennsylvania, and Massachusetts). Originally a part of Virginia, in 1792 Kentucky became the 15th state to join the Union. Kentucky is the 37th most extensive and the 26th most populous of the 50 United States. Ke...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$36,212 to $46,437

Claims Analyst in Wichita Falls, TX
Gavin Pannu, MSTA, Market Analyst and Trading Mentor at London Academy of Trading (LAT), agrees that regulation is ultimately the key to sparking another bull run in the broader cryptocurrency market.
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