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Billing Specialist Associate
2 months ago
Position Overview
Your role transcends traditional job responsibilities.
The Billing Associate is tasked with managing billing operations for Medicare, Medicaid, and various third-party payers as designated.
Key Responsibilities
• Ensure the prompt submission of all assigned hospital claims.
• Process daily electronic billing files and submit insurance claims to external 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 execute appropriate corrections to guarantee precise claim submissions.
• Track claim rejections for patterns and issues, and communicate findings to the 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 and/or Supervisor.
• Collaborate with supervision, management, and patient accounting staff to enhance processes, boost accuracy, create efficiencies, and achieve departmental objectives.
• Adhere to best practices in billing, follow-up, and customer service.
• Uphold LCMC's mission and values, serving as a model for ethical conduct.
• Comply with federal and state regulations regarding the protection of patient information (e.g., HIPAA) as well as facility-specific guidelines.
Qualifications
Minimum Requirements:
Experience:
• At least 1 year of experience in healthcare billing, collections, payment processing, or denial management.
Education:
• Required: 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.
• Proficient in analyzing system reports and understanding the implications of potential changes.
• Knowledgeable in:
- 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
• Capable of taking initiative by identifying issues, conceptualizing solutions, and implementing changes.
• Demonstrates effective time-management skills and the ability to multitask under pressure.
• Exhibits excellent customer service skills.
• Strong writing and communication abilities.
• Comfortable with various computer systems.
Work Schedule:
Days (United States of America)
About LCMC Health:
LCMC Health is a community-driven organization.
Our personnel are dedicated to making healthcare a reality. With deep roots in New Orleans, our branches extend our mission of delivering exceptional care to every individual and parish in Louisiana and beyond, infusing heart and soul into healthcare along the way. Our culture is built on authenticity, originality, equity, inclusion, and a welcoming attitude.
Core Values:
- Deliver healthcare with compassion.
- Bring joy to those we serve.
- Infuse love into our work.
- Be genuine and compassionate.
- Embrace uniqueness in care.
- Focus on opportunities rather than challenges.
- Support diverse ideas and each other.
- Celebrate individuality.
Commitment to Diversity:
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.
Note:
This job summary is intended to outline 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 modify responsibilities to meet organizational needs.
Application Process:
To begin, please take your time to accurately complete the employment application. Incomplete applications may be eliminated due to missing information. We may use the information provided to verify 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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