This job is closed
Applications are no longer available for this announcement. Explore current related opportunities below.
Job description
Your job is more than a job
The Collector is responsible for Collections and Denial Management ensuring the appropriate action is taken on assigned accounts in a timely manner resulting in positive resolution.
Your Everyday
Maintains responsibility for accurate and timely completion of daily follow-up or denial account assignment
Identifies and analyzes underpayments to identify reasons for discrepancies and process denials and appeals as needed
Reviews posted payments and adjustments to ensure accuracy. Analyzes EOBs to ensure proper reimbursement
Conducts relevant research to complete appeals process to include assessing, complete and accurate documentation, tracking, responding to, and / or resolving appeals with third party payers in a timely manner
Communicates with payers on outstanding claims, resolves payment variances and achieves timely reimbursement
Accurately documents all activity on the patient account
Collaborates with internal departments and external organizations to ensure correct reimbursement and resolve appeals
Monitors underpaid and denied claims for trends and to identify root causes and reports findings to supervisor
Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management
Observes best practice processes in 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 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
EXPERIENCE QUALIFICATIONS Minimum two years of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing, or denial management is preferred
EDUCATION QUALIFICATIONS Required: A high school diploma or GED
SKILLS AND ABILITIES Must be able 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.
LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.
Simple things make the difference.
1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.
2. To ensure quality care and service, we may use information on your application to verify your previous employment and background.
3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.
4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.
Worksite address
new orleans, LA, 70123, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.