Solutions Senior HB Denials and Follow Up Rep- Remote

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

This job assumes responsibility for providing overall support to one of the following areas with Revenue Cycle: Pre-Service, ED Registration, Financial Counseling, Call Center, Billing, Collections/Follow-Up, Self-Pay, Credentialing, Denials. Ensures the financial security of accounts for patients in various ways; assumes responsibility for working and advising patient of their financial responsibility whether it is a patients self pay, co-payment or deductible; ensures the financial security of patient accounts by carrying out one of the following functions: verifying benefits, obtaining authorizations, billing or collecting, resolving denied claims, financial counseling, credentialing, or registering patients; and directly supports the business office by assisting with the reduction of bad debt. This job is customer service focused with demonstrated ability to gather and disseminate information through effective communication with various groups, either in person or over the phone; exercises good judgment in handling payment or billing related issues with the aptitude to solve problems effectively and efficiently; and assumes responsibility for increasing patient satisfaction by consistently representing the organization professionally.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Education

Required - High School diploma or equivalent

Preferred - Associates degree. Additional degrees, business training experience and/or certifications may be combined to meet minimum qualifications.

Work Experience
Required - 4 years experience in hospital, clinic, business services/revenue cycle, front line registration, financial counseling, and/or direct experience in a healthcare environment

Knowledge Skills and Abilities (KSAs)

• Must have computer skills and dexterity required for data entry and retrieval of information.
• Effective verbal and written communication skills and the ability to present information clearly and professionally.
• Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
• Strong interpersonal skills.

• Customer service focused with demonstrated ability to gather and disseminate information through effective communication with various people, either in person or over the phone.

• Exhibits sound judgment in handling/escalating difficult situations and good organizational, time management, interpersonal, and conflict resolution skills.

• Excellent decision making skills; good analytical skills with a strong attention to detail are necessary.

• Self-directed with excellent prioritization and organization skills including the ability to handle several tasks and interruptions in a positive manner.

Job Duties

• Performs daily operations activities such as: ensures accurate and timely collection of all data necessary for the processing of charges/claims and, ultimately, the receipt and processing of payments owed to the company.
• Provides recommendations for system improvements in order to ensure accuracy and consistency of operational activities.
• Upholds and supports company service excellence standards by providing excellent customer service and effectively communicating with patients throughout their medical experience.
• Performs other duties as assigned by a member of the Management Teams.

Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.

The incumbent has no occupational risk for exposure to communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

Are you ready to make a difference? Apply Today!

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Please refer to the job description to determine whether the position you are interested in is remote or on-site.Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.

Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

Originally posted on Himalayas