Sr Denials & Follow-up Rep

Ochsner Health • New Orleans, LA

2d

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 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.

Requirements

• High School diploma or equivalent
• 4 years experience in hospital, clinic, business services/revenue cycle, front line registration, financial counseling, and/or direct experience in a healthcare environment
• 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.

Nice To Haves

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

Responsibilities

• 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.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 11-50 employees