Billing Specialist Associate

2 weeks ago

New Orleans, Louisiana, United States LCMC Health Corporate Full time

Position Overview

Your role transcends traditional job expectations.

The Billing Associate is tasked with managing billing functions for Medicare, Medicaid, and various third-party payers as designated.

Key Responsibilities

Daily Duties

- 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 necessary adjustments to guarantee accurate claim submissions.

- Track claim rejections for patterns and issues, reporting 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 needed.

- Document billing activities on patient accounts; ensure compliance with all state and federal billing regulations, reporting any suspected compliance issues to the Billing Manager and/or Supervisor.

- Collaborate with supervision, management, and patient accounting staff to enhance processes, increase accuracy, create efficiencies, and achieve departmental goals.

- Uphold best practices in billing, follow-up, and customer service activities.

- Act in alignment with LCMC's mission and values, serving as a model for ethical conduct.

- Comply with federal and state regulations concerning the protection of patient information (e.g., HIPAA) as well as facility-specific guidelines.

Essential Qualifications

Experience Requirements

- Minimum of 1 year of experience in healthcare billing, collections, payment processing, or denial management.

Educational Requirements

- Required: High School Diploma/GED or equivalent OR 2 years of relevant work experience.

Skills and Competencies

- 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.

- Demonstrated initiative in identifying problems, 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 team is dedicated to making healthcare happen. With deep roots in New Orleans, we strive to deliver the best possible care to every individual and community in Louisiana and beyond, infusing heart and soul into healthcare.

Core Values

  • Deliver healthcare with compassion.
  • Bring joy to our patients.
  • Infuse love into our work.
  • Maintain honesty and authenticity with empathy.
  • Embrace uniqueness in every aspect of care.
  • Focus on opportunities rather than obstacles.
  • 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 describe the general nature and level of work performed by individuals in this role. 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 initiate your application, please ensure that you complete the employment application accurately and thoroughly. Incomplete applications may be subject to elimination due to missing information.

For quality assurance, we may utilize information from your application to verify previous employment and background.

To keep our career applications current, applications become inactive after 6 months, necessitating a new application submission.

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.

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