Your job is more than a job

The Collector is responsible for Collections and Denial Management ensuring the appropriate action is taken on assigned accounts in a timely manner resulting in positive resolution.

Your Everyday

Maintains responsibility for accurate and timely completion of daily follow-up or denial account assignmentIdentifies and analyzes underpayments to identify reasons for discrepancies and process denials and appeals as neededReviews posted payments and adjustments to ensure accuracy. Analyzes EOBs to ensure proper reimbursementConducts relevant research to complete appeals process to include assessing, complete and accurate documentation, tracking, responding to, and / or resolving appeals with third party payers in a timely mannerCommunicates with payers on outstanding claims, resolves payment variances and achieves timely reimbursementAccurately documents all activity on the patient accountCollaborates with internal departments and external organizations to ensure correct reimbursement and resolve appealsMonitors underpaid and denied claims for trends and to identify root causes and reports findings to supervisorDemonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to managementObserves best practice processes in follow-up and customer service activitiesParticipates in staff training that aligns with recognized improvement opportunities and increase understanding of Medicare/Medicaid requirements as well as general follow-up processesActs in accordance with LCMC’s mission and values, while serving as a role model for ethical behaviorAdheres to federal and state regulations related to the protection of patient information (e.g., the Health Insurance Portability and Accountability Act (HIPAA) as well as facility-specific guidelines

The Must-Haves

Minimum:

EXPERIENCE QUALIFICATIONS

Minimum two years Of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing, or denial management is preferred

EDUCATION QUALIFICATIONS

Required: A high school diploma or GED

SKILLS AND ABILITIES

Must be able to pass basic computer skills test and system level trainingWorking knowledge of system reports and the ability to analyze system information to determine the impact of possible changesDemonstrates knowledge of:
Hospital and professional billing processes and reimbursement
Third-party contracting
Insurance protocols, delay tactics, systems, and workflows
ERISA guidelines for denials and appeals
Regulations related to denials and appealsAbility to take initiative by identifying problems, conceptualizing resolutions, and implementing changePossesses efficient time-management skills and proven ability to multitask under tight deadlinesDemonstrates excellent customer service skillsEffective writing and communication skillsStrong comfort level with computer systems

WORK SHIFT:

Days (United States of America)

LCMC Health is a community. 

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary

Your extras

Deliver healthcare with heart. Give people a reason to smile. Put a little love in your work. Be honest and real, but with compassion.  Bring some lagniappe into everything you do. Forget one-size-fits-all, think one-of-a-kind care. See opportunities, not problems – it’s all about perspective. Cheerlead ideas, differences, and each other. Love what makes you, you - because we do

You are welcome here. 

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities.  LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

 

Simple things make the difference. 

1.    To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 

2.    To ensure quality care and service, we may use information on your application to verify your previous employment and background.  

3.    To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 

4.    To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.