Billing Operations Associate
1 week ago
Position Overview
Your role transcends traditional job responsibilities.
The Billing Operations Associate is tasked with managing billing processes for Medicare, Medicaid, and various third-party payers as designated.
Key Responsibilities
As a vital member of the team, you will:
- Ensure the prompt submission of all assigned hospital claims.
- Process daily electronic billing files and submit insurance claims to third-party payers; review daily edit reports from the hospital billing system and implement necessary corrections for electronic submission.
- Analyze error reports from electronic payers; identify discrepancies and make the required adjustments to guarantee accurate claim submissions.
- Track claim rejections for patterns and issues, reporting findings to your supervisor.
- Prepare and submit manual insurance claims to third-party payers that do not accept electronic submissions or require special handling.
- Coordinate requests for medical records as necessary.
- Document billing activities on patient accounts; ensure compliance with all state and federal billing regulations and report any suspected compliance issues to the Billing Manager or Supervisor.
- Collaborate with supervision, management, and patient accounting staff to enhance processes, improve accuracy, create efficiencies, and achieve departmental goals.
- Adhere to best practices in billing, follow-up, and customer service.
- Act in alignment with LCMC's mission and values, serving as a role model for ethical conduct.
- Comply with federal and state regulations regarding the protection of patient information, including HIPAA and facility-specific guidelines.
Qualifications
Minimum Requirements:
- Experience: At least 1 year of experience in healthcare billing, collections, payment processing, or denial management.
- Education: High School Diploma/GED or equivalent, or 2 years of relevant work experience.
Skills and Abilities
- Ability to pass basic computer skills assessments and system-level training.
- Familiarity with system reports and the capability to analyze system information to assess the impact of potential changes.
- Knowledge of hospital and professional billing processes, reimbursement methods, third-party contracting, insurance protocols, ERISA guidelines for denials and appeals, and regulations related to denials and appeals.
- Proactive in identifying issues, conceptualizing solutions, and implementing changes.
- Strong time-management skills with a proven ability to multitask under tight deadlines.
- Excellent customer service skills.
- Effective written and verbal communication skills.
- High comfort level with computer systems.
Work Schedule: Days (United States of America)
About LCMC Health
LCMC Health is a community-driven organization. Our mission is to provide exceptional care to every individual and community we serve. We celebrate authenticity, originality, equity, and inclusion, fostering a culture that emphasizes extraordinary service.
Core Values
- Deliver healthcare with compassion.
- Encourage positivity and smiles.
- Infuse love into your work.
- Maintain honesty and empathy.
- Embrace uniqueness in care.
- Focus on opportunities rather than obstacles.
- Support diverse ideas and perspectives.
- Value individuality.
Equal Opportunity Employer
LCMC Health is committed to equal opportunity in employment. All qualified applicants will 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.
Note: This job summary is intended to describe the general nature and level of work performed by individuals in this position. It 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.
Application Process:
To ensure a smooth application process, please complete your application thoroughly and accurately. Incomplete applications may be eliminated due to missing information. We may use the information provided to verify your previous employment and background. Applications become inactive after 6 months, requiring a new application for employment. Proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.
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