AR Follow-Up Specialist - Medical Billing & Patient Support

The Spine Hospital Of Louisiana; Baton Rouge (LA); Híbrido; USD 40.000 - 52.000; Jornada completa

Descripción de la vacante

The Spine Hospital Of Louisiana in Baton Rouge is seeking a Billing Follow-Up Specialist to manage follow-ups on all claims—self-pay, commercial, and government payors—and to help resolve outstanding balances promptly.

The role emphasizes HIPAA compliance, PHI protection, and teamwork within the Revenue Cycle, with responsibilities including supporting billers and other related duties in a busy medical office.

Formación

• Education and experience in medical office follow-up billing.
• Experience with CPT-4 and ICD-10 codes is desirable.
• Strong attention to detail and organizational skills required.

Responsabilidades

• Follow up on all claims, including self-pay and government payors.
• Maintain knowledge of other positions in the PFS office.
• Serve as backup for biller, cash poster, and charge poster.
• Reduce AR by following up on all accounts via telephone, letters, email, or other methods.
• Document all conversations and actions in the computer system.
• Ensure HIPAA privacy compliance and protect PHI.
• Respond to patient and payer inquiries professionally.

Conocimientos

Attention to detail

Customer service

Communication skills

Organizational skills

Basic math

Medical terminology

Billing knowledge

Educación

High school diploma or equivalent

Two years college preferred

Herramientas

Excel

Word

Descripción del empleo

Description

Perform follow-up activity on all accounts to ensure prompt resolution.

• Responsible for Follow-Up on all claims, including self-pay and commercial and government payor claims.
• Maintains a working knowledge of other positions in the PFS office.
• Serves as backup for biller, cash poster, and charge poster.
• Maintain knowledge of billing/collecting laws and continue education and training on proper billing and coding procedures.
• Aggressively works to reduce AR by following up on all accounts by telephone, letters, email, or any other means available.
• Works on rapid resolution of issues between facility, doctor’s office, patient, or other interested parties.
• Works denials and underpayments as assigned.
• Helps with appeals as assigned.
• Sorts, responds, and files correspondence.
• Make any corrections to demographics or insurance information as necessary.
• Documents all conversations, mailings, etc., on the computer system.
• Services as a customer service rep by answering incoming calls or visits from patients, insurance companies, doctor’s offices, or other interested parties by answering questions or concerns or directing the appropriate person who can help.
• Receives payments via telephone and processes accordingly.
• Performs other projects/duties as assigned.
• As an employee of SHOLA, you are responsible for ensuring we comply with all federal and state privacy protection laws and regulations (HIPAA). You must recognize protected health information (PHI) that requires protection, determine when it is permissible to access, use, or disclose PHI, and reduce the risk of impermissible access to, use, or disclosure of PHI.
• Exceptional patient satisfaction is the expected culture at SHOLA. Each employee is responsible for delivering exceptional patient satisfaction in all encounters with patients, families, and visitors. You are responsible for always holding yourself and your peers accountable for providing excellent patient satisfaction.
• Responsible for checking each assigned payer’s remittances against the system’s expected reimbursement. Research any variances and appeal remittance if necessary. Promptly report any trends or issues to the Revenue Cycle Director.

The statements mentioned above outline the general duties necessary to describe the essential functions of this position. However, they are not meant to be considered a comprehensive description of all the work requirements that may be inherent in the position.

Requirements

Education: High school education or equivalent. Two years of college preferred.

Experience: A minimum of two (2) years of experience performing follow-up activities in a medical office environment is required. Additional experience in billing hospital claims is strongly desired.

Licenses/Certificates: None

Special Skills: Acute attention to detail; working knowledge of Excel and Word; excellent math and reasoning skills; knowledge of claims processing/billing (CPT-4 and ICD-10 codes) and medical terminology. Must have good customer service, communication (both oral and written), organizational skills, and basic computer skills.