- Required: High School Diploma/GED or equivalent OR 2 years of work experience.
- 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
CBO Biller/Hospital Collector - New Orleans, United States - LCMC Health
Description
Your job is more than a job
Biller Associate is responsible for billing activities for Medicare, Medicaid, and all third-party payors as assigned.
Your Everyday
Maintains responsibility of the timely submission of all hospital claims assigned.
Works daily electronic billing file and submits insurance claims to third-party payers; reviews daily edit reports from the hospital 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 hospital 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.
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:
EXPERIENCE QUALIFICATIONS
1year of experience Healthcare- billing, collections, payment processing, denial management
EDUCATION QUALIFICATIONS
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
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.