Senior Collector - Physician Billing

LCMC Health; New Orleans (LA); Vor Ort; USD 45.000 - 65.000; Vollzeit

Zusammenfassung

LCMC Health in New Orleans seeks a Senior Collector to join our healthcare financial team. You will ensure timely submission of professional claims, review electronic submissions, and correct errors to keep billing accurate and compliant.

You’ll mentor staff, analyze denial trends, and collaborate with supervisors to improve processes and patient financial experience while upholding HIPAA and state regulations.

Qualifikationen

• 3 years of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing, or denial management.
• High school diploma or equivalent.
• Preferred: Certification in billing and/or coding.

Aufgaben

• Maintain responsibility of the timely submission of all professional claims assigned.
• Work daily electronic billing file and submits insurance claims to third-party payers; reviews daily edit reports from the professional billing system and makes necessary corrections to allow electronic submission.
• Review error reports from electronic payers; identifies errors and makes appropriate corrections to ensure accurate claim submission.
• Monitor claim rejections for trends and issues and reports findings to supervisor.
• Prepare and submit manual insurance claims to third-party payers who do not accept electronic claims or who require special handling.
• Coordinate medical record requests as needed.
• Document billing activity on the patient account; ensures compliance with all state and federal billing regulations and reports any suspected compliance issues to the billing manager and / or supervisor.
• Work with supervision, management, and the patient accounting staff to improve processes, increase accuracy, create efficiencies, and achieve the overall goals of the department.
• Observe best practice processes in billing, follow-up, and customer service activities.
• Participate in staff training that aligns with recognized improvement opportunities and increases understanding of Medicare/Medicaid requirements as well as general billing and follow-up processes.
• Act in accordance with LCMC’s mission and values, while serving as a role model for ethical behavior.
• Adhere to federal and state regulations related to the protection of patient information (e.g., HIPAA) as well as facility-specific guidelines.

Kenntnisse

Billing knowledge

Denial management

Customer service

Ausbildung

High school diploma or equivalent

Tools

Billing system

Jobbeschreibung

Your job is more than a job

Elevating your team’s knowledge and your customers’ understanding of medical billing can make a real difference in someone’s life, especially following a complex illness. So why not make it as uncomplicated as possible for your customers? We couldn’t agree more. As a Senior Collector you’re a vital member of the healthcare financial team that works tirelessly to make that happen by ensuring claims are processed and billed accurately. As a mentor and resource to fellow billing staff, you jump in with both feet when assigned special projects because this job is more than just billing and collecting. It takes initiative to identify problems, conceptualize resolutions, and implement change.

With an empathetic approach, you unravel the bill resolution process as much as possible and offer financial options during what may be a stressful time in their healthcare journey. At LCMC Health, we’re building a community of providers and professionals that continue caring long after a patient has returned home. If you’d love to build your career future with us in an environment committed to your growth and in a culture that brings heart and soul to everything we do, we’d love that, too.

Your experiences, knowledge, skills, empathy, team mentality, and your “little something extra” all add up to you. And we’re excited to get to know you and find out what you’ll bring to this senior collector’s role.

Your Everyday

• Maintain responsibility of the timely submission of all professional claims assigned.
• Work daily electronic billing file and submits insurance claims to third-party payers; reviews daily edit reports from the professional billing system and makes necessary corrections to allow electronic submission.
• Review error reports from electronic payers; identifies errors and makes appropriate corrections to ensure accurate claim submission.
• Monitor claim rejections for trends and issues and reports findings to supervisor
• Prepare and submit manual insurance claims to third-party payers who do not accept electronic claims or who require special handling.
• Coordinate medical record requests as needed.
• Document billing activity on the patient account; ensures compliance with all state and federal billing regulations and reports any suspected compliance issues to the billing manager and / or supervisor.
• Work with supervision, management, and the patient accounting staff to improve processes, increase accuracy, create efficiencies, and achieve the overall goals of the department.
• Observe best practice processes in billing, follow-up, and customer service activities.
• Participate in staff training that aligns with recognized improvement opportunities and increases understanding of Medicare/Medicaid requirements as well as general billing and follow-up processes.
• Act in accordance with LCMC’s mission and values, while serving as a role model for ethical behavior
• Adhere to federal and state regulations related to the protection of patient information (e.g., the Health Insurance Portability and Accountability Act (HIPAA) as well as facility-specific guidelines.

The Must-Haves

Minimum

• 3 years of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing, or denial management
• High school diploma or equivalent
• Preferred: Certification in billing and/or coding.

Work Shift

Days (United States of America)

LCMC Health is a community.

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary

Your extras

• Deliver healthcare with heart.
• Give people a reason to smile.
• Put a little love in your work.
• Be honest and real, but with compassion.
• Bring some lagniappe into everything you do.
• Forget one‑size‑fits‑all, think one‑of‑a‑kind care.
• See opportunities, not problems – it’s all about perspective.
• Cheerlead ideas, differences, and each other.
• Love what makes you, you - because we do

You are welcome here.

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

Simple things make the difference.

• To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.
• To ensure quality care and service, we may use information on your application to verify your previous employment and background.
• To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.
• To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.