Clinic Billing Specialist II- Partially Remote
4 weeks ago
JOB PURPOSE OR MISSION: To review and prepare billing forms and ensure accuracy and completeness for electronic or hardcopy claims submission.
PERFORMANCE CRITERIA
CRITERIA A: Everyday Excellence Values - Employee demonstrates Everyday Excellence values in the day-to-day performance of their job.
PERFORMANCE STANDARDS:
• Demonstrates courtesy and caring to each other, patients and their families, physicians, and the community.
• Takes initiative in living our Everyday Excellence values and vital signs.
• Takes initiative in identifying customer needs before the customer asks.
• Participates in teamwork willingly and with enthusiasm.
• Demonstrates respect for the dignity and privacy needs of customers through personal action and attention to the environment of care.
• Keeps customers informed, answers customer questions and anticipates information needs of customers.
CRITERIA B: Corporate Compliance - Employee demonstrates commitment to the Code of Conduct, Conflict of Interest Guidelines, and the GHS Corporate Compliance Guidelines.
PERFORMANCE STANDARDS
• Practices diligence in fulfilling the regulatory and legal requirements of the position and department.
• Maintains accurate and reliable patient/organizational records.
• Maintains professional relationships with appropriate officials; communicates honesty and completely; behaves in a fair and nondiscriminatory manner in all professional contacts.
CRITERIA C: Personal Achievement - Employee demonstrates initiative in achieving work goals and meeting personal objectives.
PERFORMANCE STANDARDS
• Uses accepted procedures and practices to complete assignments. Uses creative and proactive solutions to achieve objectives even when workload and demands are high.
• Adheres to high moral principles of honesty, loyalty, sincerity, and fairness.
• Upholds the ethical standards of the organization.
CRITERIA D: Performance Improvement - Employee actively participates in Performance Improvement activities and incorporates quality improvement standards in his/her job performance.
PERFORMANCE STANDARDS
• Optimizes talents, skills, and abilities in achieving excellence in meeting and exceeding customer expectations.
• Initiates or redesigns to continuously improve work processes.
• Contributes ideas and suggestions to improve approaches to work processes.
• Willingly participates in organization and/or department quality initiatives.
CRITERIA E: Cost Management - Employee demonstrates effective cost management practices.
PERFORMANCE STANDARDS
• Effectively manages time and resources
• Makes conscious effort to effectively utilize the resources of the organization — material, human, and financial.
• Consistently looks for and uses resource saving processes.
CRITERIA F: Patient & Employee Safety - Employee actively participates in and demonstrates effective patient and employee safety practices.
PERFORMANCE STANDARDS
• Employee effectively communicates, demonstrates, coordinates and emphasizes patient and employee safety.
• Employee proactively reports errors, potential errors, injuries or potential injuries.
• Employee demonstrates departmental specific patient and employee safety standards at all times.
• Employee demonstrates the use of proper safety techniques, equipment and devices and follows safety policies, procedures and plans.
JOB FUNCTIONS
ESSENTIAL JOB FUNCTIONS include, but are not limited to:
1. Prepares and reviews all billing forms to ensure accuracy and completeness for claims submission to insurance carriers.
PERFORMANCE STANDARDS:
• Identifies and records required billing information according to insurance carrier requirements with 100% accuracy.
• Completes billing information accurately.
• Processes claims electronically with 100% accuracy and mail claims to insurance carriers daily.
2. Enters documentation and adjustments through computer system to maintain a correct account balance.
PERFORMANCE STANDARDS:
• Updates system information daily according to correspondence received and processed.
• Documents any changes on a daily basis and submits information to appropriate personnel.
• Seeks clear directions to resolve issues and bring problems to a proper resolution.
3. Reviews and identifies charge discrepancies and completes all requests for rebilling from inter-department personnel.
PERFORMANCE STANDARDS:
• Reviews charge summaries on each patient bill that is produced and identifies discrepancies with 100% accuracy.
• Audits requests for accurate information.
• Completes rebilling within 10 days according to established rebilling procedures.
• Manually documents rebilling log upon completion with 100% accuracy.
4. Prepares daily production reports, maintains required records, reports, and files while evaluating account information.
PERFORMANCE STANDARDS:
• Monitors number of accounts and outstanding balances within three days of receiving report.
• Consistently applies appropriate procedures to prevent accounts from becoming delinquent or remaining unbilled.
• Initiates appropriate follow-up.
5. Performs all other duties as assigned.
SPECIFIC EXPERIENCE REQUIREMENTS
Prior experience with general office responsibilities.
SPECIFIC EDUCATIONAL REQUIREMENTS
High School Diploma preferred
SPECIAL SKILL, LICENSE AND KNOWLEDGE REQUIREMENTS
Minimum typing skills of 45 wpm, ten key by touch, data entry skills.
HIPAA REQUIREMENTS:
Maintains knowledge of and adherence to all applicable HIPAA regulations appropriate to Job Position.
SAFETY REQUIREMENTS:
Maintains knowledge of and adherence to all applicable safety practices appropriate to Job Position including but not limited to: incident reporting, handling wastes, sharps and linens, PPE, exposure control plan, hand washing, and environmental round to ensure safety,
-
Billing Specialist
1 month ago
Baton Rouge, United States the family clinic Full timeJob DescriptionJob DescriptionDaily coding and billing of patient encounters Tracking claim payments correcting and refiling claims and calling patients to collect balances not paid by insurance
-
Billing Specialist
6 days ago
Baton Rouge, United States the family clinic Full timeJob DescriptionJob DescriptionDaily coding and billing of patient encounters Tracking claim payments correcting and refiling claims and calling patients to collect balances not paid by insurance
-
DME Clinical Specialist
1 month ago
Baton Rouge, United States BATON ROUGE ORTHOPAEDIC CLINIC LLC Full timePosition:DME Clinical Specialist (Durable Medical Equipment)About BROC:At the Baton Rouge Orthopedic Clinic our goal is to provide a seamless continuum of health care services to maximize patients’ outcomes and convenience. We offer an organized and coordinated continuum to provide better and timelier feedback between the patient, physician, and...
-
DME Clinical Specialist
3 days ago
Baton Rouge, United States BATON ROUGE ORTHOPAEDIC CLINIC LLC Full timePosition:DME Clinical Specialist (Durable Medical Equipment)About BROC:At the Baton Rouge Orthopedic Clinic our goal is to provide a seamless continuum of health care services to maximize patients’ outcomes and convenience. We offer an organized and coordinated continuum to provide better and timelier feedback between the patient, physician, and...
-
Remote Licensed Clinical Social Worker
2 weeks ago
Baton Rouge, United States Headway Full timeJob DescriptionRemote Licensed Clinical Social Worker (LCSW) Wage: Between $90-$120 an hour Are you a Licensed Clinical Social Worker looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across the United States in our mission to...
-
Clinical Informatics Analyst
1 month ago
Baton Rouge, United States Baton Rouge General Full timeDescriptionJOB PURPOSE OR MISSION: Responsible for support of clinical information systems in the hospital network, including the planning, development, training, implementation, evaluation, and maintenance of assigned Clinical Information Systems. Serves as a resource person between I/S and Patient Care Areas for the daily operational issues of hospital's...
-
Clinical Informatics Analyst
3 days ago
Baton Rouge, United States Baton Rouge General Full timeDescriptionJOB PURPOSE OR MISSION: Responsible for support of clinical information systems in the hospital network, including the planning, development, training, implementation, evaluation, and maintenance of assigned Clinical Information Systems. Serves as a resource person between I/S and Patient Care Areas for the daily operational issues of hospital's...
-
Enrollment & Billing Specialist I
7 days ago
Baton Rouge, United States Blue Cross and Blue Shield of Louisiana Full timeWe take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. Grade 3 POSITION PURPOSE The Enrollment and Billing...
-
Electronic Billing Specialist/Book-keeping Assistant
2 months ago
Baton Rouge, United States LONG LAW FIRM, LLP Full timeJob DescriptionJob DescriptionLong Law Firm is seeking for a part-time Electronic Billing Specialist and Book-keeping Assistant to join their firm in Baton Rouge. EducationHigh School Diploma or GED requiredWork Experience2+ years’ experience in professional services preferred, but not requiredSpecial SkillsDetail orientedModerate experience with Microsoft...
-
Baton Rouge, United States LONG LAW FIRM, LLP Full timeJob DescriptionJob DescriptionLong Law Firm is seeking for a part-time Electronic Billing Specialist and Book-keeping Assistant to join their firm in Baton Rouge. EducationHigh School Diploma or GED requiredWork Experience2+ years’ experience in professional services preferred, but not requiredSpecial SkillsDetail orientedModerate experience with Microsoft...
-
Baton Rouge, United States LONG LAW FIRM, LLP Full timeJob DescriptionJob DescriptionLong Law Firm is seeking for a part-time Electronic Billing Specialist and Book-keeping Assistant to join their firm in Baton Rouge. EducationHigh School Diploma or GED requiredWork Experience2+ years’ experience in professional services preferred, but not requiredSpecial SkillsDetail orientedModerate experience with Microsoft...
-
Accounts Receivable Specialist
4 weeks ago
Baton Rouge, United States PSC Group Full timeAccounts Receivable Specialist (AR Specialist) Baton Rouge, LA PSC Group is seeking an Accounts Receivable Specialist who thrives on providing excellent customer service and enjoys solving problems. This position will work in our Baton Rouge corporate office in a family-oriented, team environment. Work Schedule: Monday - Friday. Hybrid work schedule...
-
Accounts Receivable Specialist
3 days ago
Baton Rouge, United States PSC Group Full timeAccounts Receivable Specialist (AR Specialist) Baton Rouge, LA PSC Group is seeking an Accounts Receivable Specialist who thrives on providing excellent customer service and enjoys solving problems. This position will work in our Baton Rouge corporate office in a family-oriented, team environment. Work Schedule: Monday - Friday. Hybrid work schedule...
-
Clinical Research Coordinator
1 month ago
Baton Rouge, United States Tulane University Staff Full timeThe primary responsibility of the Clinical Research Coordinator is to coordinate and conduct the day-to-day operation of clinical studies and clinical trials in cardiovascular and chronic kidney diseases. The Clinical Research Coordinator assists the investigator team to develop study protocols and manuals of procedures. The Clinical Research Coordinator...
-
Clinical Research Coordinator
2 days ago
Baton Rouge, United States Tulane University Staff Full timeThe primary responsibility of the Clinical Research Coordinator is to coordinate and conduct the day-to-day operation of clinical studies and clinical trials in cardiovascular and chronic kidney diseases. The Clinical Research Coordinator assists the investigator team to develop study protocols and manuals of procedures. The Clinical Research Coordinator...
-
Manager, Wound Care Clinical Providers
3 weeks ago
Baton Rouge, United States Restorixhealth Full timeRemote Based Manager, Wound Care Clinical Providers (With Travel)NP License Required At RestorixHealth, our mission is simple... to restore health and improve the quality of life-access to care-for patients with wounds. The RestorixHealth Professional Services Division is dedicated to providing high-quality, evidence-based wound care directly to patients in...
-
Manager, Wound Care Clinical Providers
3 days ago
Baton Rouge, United States Restorixhealth Full timeRemote Based Manager, Wound Care Clinical Providers (With Travel)NP License Required At RestorixHealth, our mission is simple... to restore health and improve the quality of life-access to care-for patients with wounds. The RestorixHealth Professional Services Division is dedicated to providing high-quality, evidence-based wound care directly to patients in...
-
Clinical Systems Informatics Specialist
2 weeks ago
Baton Rouge, United States Mary Bird Perkins Cancer Center Full timeMary Bird Perkins Cancer Center is Louisiana's leading cancer care organization, caring for more patients each year than any other facility in the region. And with strategic hospital and physician partnerships, we are delivering on our mission to improve survivorship and lessen the burden of cancer. Mary Bird Perkins and its partners work together to...
-
Clinical Systems Informatics Specialist
2 days ago
Baton Rouge, United States Mary Bird Perkins Cancer Center Full timeMary Bird Perkins Cancer Center is Louisiana's leading cancer care organization, caring for more patients each year than any other facility in the region. And with strategic hospital and physician partnerships, we are delivering on our mission to improve survivorship and lessen the burden of cancer. Mary Bird Perkins and its partners work together to...
-
Medical Office Specialist II- OBGYN
3 days ago
Baton Rouge, United States Baton Rouge General Full timeJOB PURPOSE OR MISSION: Performs multiple administrative and clerical duties within a clinic setting. PERFORMANCE CRITERIA CRITERIA A: Everyday Excellence Values - Employee demonstrates Everyday Excellence values in the day-to-day performance of their job. PERFORMANCE STANDARDS:• Demonstrates courtesy and caring to each other, patients and their families,...
