Senior Collector - Physician Billing

LCMC Health; Oregon; Hybrid; USD 42,000 - 60,000; Full time

Job summary

LCMC Health is seeking a billing specialist to ensure timely submission of professional claims and accurate electronic submissions. You will review daily payer reports, correct errors, and monitor denial trends to improve submission quality.

Must have 3 years in healthcare billing, a high school diploma, and preferably billing/coding certification. The role follows day shifts and emphasizes compliance and process improvements within the department.

Qualifications

• 3 years of experience in healthcare billing, collections, payment processing, or denial management.
• Knowledge of HIPAA and patient privacy regulations.

Responsibilities

• Submit professional claims timely and accurately to third-party payers.
• Process daily electronic billing files and correct errors for submission.
• Review payer rejections and trends; implement corrective actions.
• Prepare manual claims for non-electronic submissions when needed.
• Coordinate medical record requests and ensure documentation aligns with regulations.
• Document billing activity and maintain compliance with state and federal laws.

Skills

Healthcare billing

Claims processing

Denial management

Education

High School Diploma or equivalent

Billing/coding certification (preferred)

Job description

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

• 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.