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LCMC Health Patient Account Rep- Biller in New Orleans, Louisiana

Position Summary Patient Account Rep CBO Operations-Hospital Billing is responsible for billing activities for Medicare, Medicaid, and all third-party payors as assigned. Principal Duties and Responsibilities

  • 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 above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position. Position Qualifications? Education

  • A high school diploma or GED required

  • Certification in billing and/or coding is preferred Experience

  • Minimum two years of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing, or denial management is preferred

  • Strong clerical experience considered

    Knowledge, Skills, 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

LCMC is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, disability status, protected veteran status, or any other characteristic protected by law.

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