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 is responsible for ensuring the financial security of accounts for patients, including functions associated with credit balances on accounts, both at the insurance and guarantor level. The Sr job is responsible for having a greater depth and understanding of regulatory regulations and compliance while performing job duties. Responsibilities include, but are not limited to, utilizing expected reimbursement calculations to determine if refund is due to insurance companies, correcting proration and adjustment errors, and trending errors with recommending how to prevent future errors. Refunding process must be followed explicitly to ensure timely and accurate transfer of money. Additionally, this job is responsible for handing more complicated and in-depth issues and/or inquiries, is expected to be the expert for departmental processes and procedures, assist with assigned projects, and may assist in training new department staff.

Education

Required – High school diploma or equivalent

Preferred – Bachelor’s degree

Work Experience

Required – 3 years’ experience in customer service, healthcare, or leadership OR 1 year internal company experience with demonstrated success in relevant area

Preferred – Hospital and/or clinic revenue cycle experience and decision making, problem solving, analytical, and quality management skills; billing or financial experience a plus

Knowledge Skills and Abilities (KSAs)

Must have computer skills and dexterity required for data entry and retrieval of patient 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, various software packages specific to role and keyboard. Strong interpersonal skills with ability to remain calm under pressure. Strong analytical and trending skills with ability to self -motivate and take initiative. Ability to perform effectively under conditions of fluctuating workload. Ability to successfully function in a team environment and work independently to complete job duties.

Job Duties

Researches all refund requests and handles more complicated/in-depth requests. Accurate and timely handles requests for refunds/identification and correction of credit balances. Consistently meets production goals as established by management. Build inter and intra departmental relationships to assist in improving process efficiency. Answers questions and directs staff, acting as an expert in the department. Demonstrates competency in Federal, State, and Third Party regulations. Demonstrate responsibility for professional growth and maintaining required knowledge and skills to perform the duties of the position. Other related duties as required.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

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.

The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The incumbent has no occupational risk for exposure to communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within 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 make a difference? Apply Today!

Ochsner Health 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, Maryland, New York, Washington, and Washington D.C.

Ochsner Health endeavors to make our site accessible to all 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 careers@ochsner.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

We are proud to be an Equal Employment Opportunity and Affirmative Action employer. We are committed to the principles of equal employment opportunity and providing a workplace that is free from discrimination based on race, color, creed, religion, pregnancy status, pregnancy-related conditions, national origin, ancestry, mental or physical disability, medical condition, age, veteran status, military status, citizenship status, marital status, familial status, sexual orientation, gender, gender identity or expression, genetic information, political affiliation, unemployment status, or any other characteristic protected under applicable federal, state or local law. These protections extend to applicants and all employment related decisions. View the EEO is the Law poster and its supplement, as well as the pay transparency policy for more information. 

Affirmative Action Policy Statement