Liability Claims Escalation Specialist

Lake Charles Memorial Health System; Lake Charles (LA); On-site; USD 42,000 - 68,000; Full time

Job summary

Lake Charles Memorial Health System in Lake Charles, LA seeks a Claims Escalation Analyst to manage liability claims from start to finish, verify information, review policies for reimbursable charges, reconcile estimates, negotiate payments, and follow up to ensure payments are made.

The role emphasizes accuracy in posting transactions, collaboration with payers and departments, and meeting productivity standards while documenting clearly in the system.

Qualifications

• High school diploma or GED required.
• At least one year experience in healthcare or related field preferred.
• Ability to keyboard at 40 words per minute and basic computer skills.
• Strong organizational and communication skills, including ability to discuss medical issues.
• Negotiation skills including assertiveness and being proactive.

Responsibilities

• Monitors liability claims from start to finish and verifies information.
• Reviews policies to determine reimbursable charges and reconciles estimates.
• Negotiates payments and follows up to ensure payments are made.
• Posts transactions accurately and ensures correct keying for payments and adjustments.
• Collaborates with other departments to resolve issues delaying claims processing.
• Communicates with assigned payer and escalates claims with carriers and other departments.
• Evaluates accounts to determine needs and steps to resolve quickly.
• Documents all information in the system using Clear Concise Consistent method.
• Maintains productivity standards and prioritizes high-priority work.

Skills

Communication skills

Organizational skills

Negotiation

Typing 40 wpm

Computer literacy

Education

High school diploma or GED

Job description

Lake Charles Memorial Health System in Lake Charles, LA seeks a Claims Escalation Analyst to manage liability claims from start to finish, verify information, review policies for reimbursable charges, reconcile estimates, negotiate payments, and follow up to ensure payments are made.

The role emphasizes accuracy in posting transactions, collaboration with payers and departments, and meeting productivity standards while documenting clearly in the system.