Senior Collector - Physician Billing

LCMC Health•New Orleans, LA

About The Position

The Senior Collector is a member of the healthcare financial team responsible for ensuring professional claims are processed and billed accurately and submitted on time. The role also serves as a mentor and resource to billing staff and takes initiative on special projects, identifying problems, developing resolutions, and implementing change. The Senior Collector helps patients navigate bill resolution with empathy and offers financial options when appropriate. The position supports accurate, compliant billing and works with supervisors, management, and patient accounting staff to improve processes, increase accuracy, create efficiencies, and meet department goals. It also supports staff training and follows LCMC Health’s mission, values, ethical standards, and patient-information protection requirements.

Requirements

At least 3 years of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing, or denial management.
High school diploma or equivalent.

Nice To Haves

Certification in billing and/or coding.

Responsibilities

Maintain responsibility for timely submission of all assigned professional claims.
Work the daily electronic billing file and submit insurance claims to third-party payers; review daily billing-system edit reports and make corrections needed for electronic submission.
Review electronic payer error reports, identify errors, and make appropriate corrections to ensure accurate claim submission.
Monitor claim rejections for trends and issues and report findings to the supervisor.
Prepare and submit manual insurance claims to third-party payers that do not accept electronic claims or require special handling.
Coordinate medical record requests as needed.
Document billing activity on patient accounts and ensure compliance with state and federal billing regulations; report suspected compliance issues to the billing manager and/or supervisor.
Work with supervision, management, and patient accounting staff to improve processes, increase accuracy, create efficiencies, and achieve department goals.
Follow best-practice processes in billing, follow-up, and customer service activities.
Participate in staff training that addresses recognized improvement opportunities and builds understanding of Medicare/Medicaid requirements and general billing and follow-up processes.
Act in accordance with LCMC Health’s mission and values and serve as a role model for ethical behavior.
Follow federal and state regulations protecting patient information, including HIPAA, as well as facility-specific guidelines.
Mentor and serve as a resource to fellow billing staff and participate in assigned special projects.