Professional Denials & Follow-up Rep - Partnership Services – Full Time – Remote

Ochsner Health; New Orleans (LA); Remote; USD 40,000 - 55,000; Full time

Job summary

Join a leading healthcare provider in New Orleans as a Professional Denials & Follow-up Rep. This remote role focuses on resolving insurance account receivables, ensuring accurate billing, and maintaining communication with payors and patients. Ideal candidates will have strong communication skills and experience in customer service or healthcare settings. Ochsner Health offers a supportive environment committed to excellence in patient care.

Qualifications

• 1 year of related experience in hospital, clinic, or customer service roles.

Responsibilities

• Resolve outstanding insurance account receivables.
• Verify and update insurance and demographic information.
• Follow-up on claim status and communicate with payors.

Skills

Data Entry

Communication

Interpersonal Skills

Multitasking

Professionalism

Education

High School Diploma

Associate or Bachelor Degree

Tools

EPIC System

Job description

Professional Denials & Follow-up Rep - Partnership Services – Full Time – Remote

Join Ochsner Health, a dedicated organization committed to serving, healing, leading, educating, and innovating since 1942. Our success is driven by our employees who make a difference every day.

Whether working directly with patients or supporting those who do, your role is vital. Discover your future with us today!

Job Overview

This role involves resolving outstanding insurance account receivables, including collection, billing activities, and communication with payors (government and commercial), clients, reimbursement vendors, and patients.

Essential Responsibilities

• Research accounts via phone and payor websites to secure payment.
• Verify and update insurance and demographic information for accuracy.
• Follow-up on claim status and communicate with payors.
• Appeal denials and determine when further review is needed.
• Stay informed on payor guidelines and trends affecting reimbursements.
• Report issues and suggest improvements based on account trends.

Qualifications

Education

Required: High School diploma or equivalent
Preferred: Associate or Bachelor Degree

Work Experience

Required: 1 year of related experience in hospital, clinic, or customer service roles
Preferred: Experience with EPIC system

Skills & Abilities

• Proficiency in data entry and software applications.
• Effective communication skills.
• Strong interpersonal skills and ability to multitask.
• Ability to work effectively in a fast-paced environment.
• Maintain professionalism under pressure.
• Reliable transportation for travel as needed.

Additional Information

Ensure compliance with all relevant laws and regulations. Maintain confidentiality and adhere to the company's compliance and privacy standards.

Physical demands include light exertion and the ability to work in a healthcare setting with potential exposure to hazardous materials, following safety protocols.

Apply Today

We welcome qualified applicants to join our team. Note: Residency restrictions apply for remote work positions. Contact HR for accommodation requests.

About Ochsner

Located in Jefferson, Louisiana, near New Orleans, Ochsner Medical Center is a leading healthcare provider committed to excellence in patient care.