LifePoint Health, Inc.

Billing Analyst in Johnstown, PA at Health Support Center

Posted on: 6 Feb 2021

Johnstown, PA

Job Description

Job Description

LifePoint Health- Health Support Center

LifePoint Health Business Services, located in Johnstown, PA, is a centralized revenue cycle service center supporting multiple hospitals in the LifePoint Health network. Services provided by LifePoint Health Business Services range from hospital billing to claims follow up and customer service.

Biller

Bills institutional and professional claims to various insurance plans for BSC facilities, ensuring claims are billed accurately, timely and compliantly. Works claim edits and payer rejections to submit claims for third party reimbursement. Coordinates with facility departments and BSC departments to resolve billing edits. Process rebills and corrected claims when necessary.

Essential Functions

Bill insurance claims for assigned payer types in a timely and accurate manner using both paper and electronic methods based on payer requirements

Audit accounts for changes, duplications and overlaps; making any necessary adjustments and documenting the accounts as appropriate

Attach any required documentation for claim submission such as COB info for secondary claims, remittances, claim forms, medical record documentation etc.

Resolve any claim processing issues on a timely basis through review of incomplete and hold claim inventory

Work with hospital service departments, Patient Access, HIM, Revenue Integrity, and Case Management to resolve billing edits using flags in Collections Management

Work assigned flags for rebills and corrected claims

Document all account activity in nThrive systems and Host systems as clearly and concisely as required

Non-Essential Functions

Check and verify patient eligibility when needed

Assist with special projects as necessary

Job Requirements

Minimum Education
High school diploma or equivalent Required
Two years of college Preferred
Associates degree Preferred
Minimum Required Work Experience

One (1) year of insurance billing experience required

Required Skills
Basic proficiency in Microsoft Office applications

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate actions.

LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans status or any other basis protected by applicable federal, state or local law.

LifePoint Health, Inc.

Brentwood, TN

Across our network and at our Health Support Center, we are united by a shared mission and vision, core values and guiding principles that drive everything we do and inform our approach to patient care, quality and how we do busine. We know that to achieve our vision of creating places where people choose to come for healthcare, physicians want to practice and employees want to work, we must organize around the right strategies. At LifePoint, our strategies are simple and enduring. 

Our Operating Groups

LifePoint's facilities and practices are divided into four operating divisions: Eastern, Central, Mountain and Western. Each of these divisions has a leadership team that mirrors a hospital's leadership team, including a president and dedicated physician and provider leadership resources. 

Our Health Support Center

Our Health Support Center (HSC), in Brentwood, Tennessee, has subject matter expertise in every area of healthcare operations and provider services. The HSC is organized to bring resources to bear across the continuum of care, from before a patient accesses healthcare services to after they are sent home, while keeping quality and compliance at the center. 

On a daily basis, our group leaders and subject matter experts are working with our local markets to help develop and implement the right strategies that ensure healthcare thrives in their communities. 

Our Physicians

Physicians are a critical access point to care in our communities. We work to build and maintain collaborative relationships with both our employed physicians and a broad network of affiliated providers, and we provide a full spectrum of practice management and physician support to help secure the delivery of quality care today and for the future.