Denials & Follow-up Rep

Job title: Denials & Follow-up Rep in New Orleans, LA at Slidell Memorial Hospital Company: Slidell Memorial Hospital Job description: We've made a lot of reputed company since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, reputed company, educate, and innovate. We reputed company 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 reputed company a difference at reputed company and discover your future today!This job is primarily responsible for resolving reputed company outstanding insurance account receivables. Responsibilities include, but are not limited to, performing collection and billing activities reputed company to account resolution, and communicating with payors (Government and Commercial), clients, reimbursement vendors, and other external resources such as patients.To reputed company this job successfully, an individual must be able to reputed company each essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company qualified individuals with disabilities to reputed company 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 reputed company-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.EducationRequired – High School diploma or equivalentPreferred – Associates Degree or Bachelor DegreeWork ExperienceRequired – 1 year reputed company experience in reputed company hospital, clinic, medical office, business services/reputed company cycle, reputed company line registration, financial counseling, banking and/or customer service reputed company jobPreferred – Prior experience working with EPIC systemKnowledge Skills and Abilities (KSAs)

• Must have computer skills and dexterity required for data entry and retrieval of required job information.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
• Must be proficient with Windows-style applications, keyboard, and various software packages specific to role.
• Strong interpersonal skills.
• Ability to multi-task.
• Ability to reputed company effectively in a fast paced reputed company changing environment.
• Ability to remain reputed company and professional in high pressure/stressful situations regarding patient financial and medical conversations.
• Reliable transportation to travel to other facilities to fill in as needed.

Job Duties

• Performs account research with internal and/or external resources reputed company phone and payor websites to determine status of the account with the expected result of obtaining payment of the account.
• Verifies and/or updates insurance and demographic information for accuracy to resolve barriers in receiving payment of the account.
• Follows-up with payors and checks claim status as needed throughout the payment process.
• Appeal denials reputed company needed throughout the payment process and determines reputed company appeals should be sent for further research and/or review.
• Maintains knowledge of differing payor guidelines to ensure accurate reimbursement by various resources, such as department meetings and updates on payor websites.
• Identifies trends that may cause or are causing various types of issues on assigned accounts and reports to leader with recommendations for system improvements/edits.
• Other reputed company duties as required.

The above statements describe the general nature and level of work only. They are not an exhaustive list of reputed company required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.Remains knowledgeable on reputed company federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with reputed company 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 reputed company or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-reputed company concerns.The employer is an Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, protected veteran status, or disability status.Physical and Environmental DemandsThe physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) reputed company it requires walking or standing to a significant degree; or (2) reputed company it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) reputed company the job requires working at a production reputed company pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production reputed company pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not reputed company upon to reputed company or assist in emergency care or first aid.The incumbent has no occupational risk for exposure to communicable diseases.Because the incumbent works reputed company a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste reputed company 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 reputed company a difference? Apply Today!reputed company does not consider an individual an applicant until they have formally applied to the open position on this careers website.Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Minnesota, reputed company, Washington, and Washington D.C.reputed company endeavors to reputed company our site accessible to reputed company 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. reputed company qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities. Expected salary: Location: New Orleans, LA Apply for the job now! Apply for this job