Claims Analyst

Ochsner Clinic Foundation • New Orleans, LA

9d

About The Position

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 provides expert billing and follow-up for pre, post and event transplant services and renal dialysis patients. Monitors patients' accounts related to these services, ensuring timely and accurately billing in accordance with payor specific requirements. Completes necessary financial transactions including posting of charges, contractual allowances and payments and reimbursement follow-up to ensure accurate and timely payments are received for services rendered. Researches patient accounts to determine the final disposition of any inquiry and performs all appropriate system tasks to properly balance the account. 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.

Requirements

• High school diploma or equivalent.
• 2 years of medical insurance billing experience with an emphasis on Medicare and Medicaid policy guidelines.
• Working knowledge of CPT and ICD-9 codes.
• Analytical skills and ability to perform calculations, analyze remark codes, post insurance adjustments, transfers, reconcile accounts, and perform other mathematical functions.
• Proficiency in using computers, software, and web-based applications.
• Effective verbal and written communication skills and ability to present information clearly and professionally.
• Strong interpersonal skills.
• Ability to maintain confidentiality while handling sensitive material found in patient's medical charts and in accounts receivable system.
• Ability to meet project deadlines, set priorities, and operate with relative independence in a fast-paced billing environment.
• Ability to pay attention to detail, ensure transaction accuracy, and work calmly in high-pressure leadership situations.
• Ability to work flexible hours.

Nice To Haves

• Some college leading to a degree in business/accounting/administration.
• Completion of medical terminology course.

Responsibilities

• Researches, audits, and bills.
• Follows up on reimbursements.
• Identifies and establishes transplant/renal patient accounts.
• Performs all duties in compliance with federal, state, and third party regulations.
• Participates in activities for professional growth and maintains required knowledge and skills to perform the duties of the position.
• Performs other related duties as required.
• 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.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees