Claims Escalations Specialist

Lake Charles Memorial Hospital; Lake Charles, Northern (LA, KY); Hybrid; USD 42,000 - 62,000; Full time

Job summary

Lake Charles Memorial Hospital is seeking a Claims Escalation Analyst to manage liability claims from start to finish. You will verify information, determine reimbursement eligibility, reconcile estimates, and negotiate payments with carriers and involved parties.

The role requires strong organizational and communication skills and familiarity with healthcare billing processes. The position reports to the Office Manager and involves collaboration with multiple departments to resolve issues and

Qualifications

• High school diploma or GED required.
• At least 1 year experience in healthcare or related field preferred.
• Adequate keyboarding skills (40 words per minute).
• Strong organizational and communication skills, including ability to discuss medical issues.
• Negotiation skills and proactive problem solving.

Responsibilities

• Monitors liability claims from start to finish, verifying and updating information.
• Reviews policy to determine charges eligible for reimbursement.
• Reconciles a claims adjuster's estimates and negotiates payment.
• Follows up to ensure payments are made and properly posted.
• Interacts with carriers and departments to resolve outstanding issues.
• Prioritizes work and documents information using standardized methods.
• Maintains productivity standards and meets deadlines.

Skills

Communication skills

Negotiation

Typing 40 wpm

Attention to detail

Healthcare knowledge

Education

High school diploma or GED

Job description

Lake Charles Memorial Hospital is seeking a Claims Escalation Analyst to manage liability claims from start to finish. You will verify information, determine reimbursement eligibility, reconcile estimates, and negotiate payments with carriers and involved parties.

The role requires strong organizational and communication skills and familiarity with healthcare billing processes. The position reports to the Office Manager and involves collaboration with multiple departments to resolve issues and