Senior Billing and Claims Collector - Remote

Your job is more than a job

The Collector Senior is primarily responsible for ensuring all claims are processed and billed accurately and in a timely manner, as well as serving as a mentor and resource to fellow billing staff. As needed, this individual is also responsible for completing or assisting with special projects.

Your Everyday

GENERAL DUTIES

• Maintains responsibility of the timely submission of all professional claims assigned.
• Works daily electronic billing file and submits insurance claims to third-party payers; reviews daily edit reports from the professional billing system and makes necessary corrections to allow electronic submission.
• Reviews error reports from electronic payers; identifies errors and makes appropriate corrections to ensure accurate claim submission.
• Monitors claim rejections for trends and issues and reports findings to supervisor
• Prepares and submits manual insurance claims to third-party payers who do not 
accept electronic claims or who require special handling.
• Coordinates medical record requests as needed.
• Documents billing activity on the patient account; ensures compliance with all state and federal billing regulations and reports any suspected compliance issues to the Billing Manager and / or Supervisor.
• Works with supervision, management, and the patient accounting staff to improve processes, increase accuracy, create efficiencies, and achieve the overall goals of the department.
• Observes best practice processes in billing, follow-up, and customer service activities.
• Participates in staff training that aligns with recognized improvement opportunities and increase understanding of Medicare/Medicaid requirements as well as general billing and follow-up processes.
• Acts in accordance with LCMC’s mission and values, while serving as a role model for ethical behavior
• Adheres to federal and state regulations related to the protection of patient information (e.g., the Health Insurance Portability and Accountability Act (HIPAA) as well as facility-specific guidelines.

The Must-Haves

Minimum:

EDUCATION/EXPERIENCE QUALIFICATIONS

• Required: High School Diploma/GED or equivalent OR 2 years of work experience.
• Preferred: 3 years of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing, or denial management

LICENSES AND CERTIFICATIONS

• Certification in billing and/or coding

KNOWLEDGE, SKILLS, AND ABILITIES

• Ability to pass basic computer skills test and system level training.
• Working knowledge of system reports and the ability to analyze system information to determine the impact of possible changes.
• Demonstrates knowledge of:
  Hospital and professional billing processes and reimbursement
  Third-party contracting
  Insurance protocols, delay tactics, systems, and workflows
  ERISA guidelines for denials and appeals
  Regulations related to denials and appeals.
• Ability to take initiative by identifying problems, conceptualizing resolutions, and implementing change.
• Possesses efficient time-management skills and proven ability to multitask under tight deadlines.
• Demonstrates excellent customer service skills.
• Effective writing and communication skills.
• Strong comfort level with computer systems.

WORK SHIFT:

Days (United States of America)

LCMC Health is a community. 

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary

Your extras

• Deliver healthcare with heart. 
• Give people a reason to smile. 
• Put a little love in your work. 
• Be honest and real, but with compassion.  
• Bring some lagniappe into everything you do. 
• Forget one-size-fits-all, think one-of-a-kind care. 
• See opportunities, not problems – it’s all about perspective. 
• Cheerlead ideas, differences, and each other. 
• Love what makes you, you - because we do

You are welcome here.