Senior Physician Billing & Collections Lead

LCMC Health; New Orleans (LA); Presencial; USD 55.000 - 75.000; Jornada completa

Descripción de la vacante

LCMC Health in New Orleans is seeking a Senior Collector to ensure timely submission of professional claims and accurate billing. You’ll mentor staff, tackle complex denials, and support special billing projects to improve overall cash flow.

This role requires at least 3 years in a healthcare billing environment, strong knowledge of payer requirements, HIPAA compliance, and a collaborative approach to meet departmental goals.

Formación

• 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.

Responsabilidades

• 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).

Conocimientos

Healthcare billing

Claims processing

HIPAA compliance

Educación

High school diploma or equivalent

Billing/coding certification (preferred)

Descripción del empleo

LCMC Health in New Orleans is seeking a Senior Collector to ensure timely submission of professional claims and accurate billing. You’ll mentor staff, tackle complex denials, and support special billing projects to improve overall cash flow.

This role requires at least 3 years in a healthcare billing environment, strong knowledge of payer requirements, HIPAA compliance, and a collaborative approach to meet departmental goals.