Insurance Denials Resolution Specialist

Ochsner; New Orleans (LA); On-site; USD 42,000 - 63,000; Full time

Job summary

Ochsner Health in New Orleans is seeking an Insurance Accounts Receivable Specialist responsible for resolving outstanding balances and performing billing activities related to account resolution. You will communicate with payors, patients, and other resources to obtain timely payment.

Responsibilities include verifying insurance and demographic information, following up on claims, appealing denials when needed, and reporting trends to improve reimbursement.

Qualifications

• Education: High School diploma or equivalent; associate or bachelor preferred.
• 1 year related experience in hospital/clinic billing or revenue cycle.
• EPIC system experience preferred.

Responsibilities

• Perform account research via phone and payor websites to obtain payment.
• Verify and update insurance and demographic information.
• Follow up with payors; check claim status and appeal denials when needed.
• Identify trends and report to leadership for system improvements.

Skills

Data entry

Communication skills

Windows applications

Multitasking

Customer service

Team coordination

Education

High School diploma or equivalent

Associates or Bachelor's degree preferred

Tools

EPIC system

Job description

Ochsner Health in New Orleans is seeking an Insurance Accounts Receivable Specialist responsible for resolving outstanding balances and performing billing activities related to account resolution. You will communicate with payors, patients, and other resources to obtain timely payment.

Responsibilities include verifying insurance and demographic information, following up on claims, appealing denials when needed, and reporting trends to improve reimbursement.