[Hiring] Sr Denials & Follow-up Rep @Ochsner Health

Role Description

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:

• Working and advising patients of their financial responsibility (self-pay, co-payment, deductible)
• Verifying benefits
• Obtaining authorizations
• Billing or collecting
• Resolving denied claims
• Financial counseling
• Credentialing
• Registering patients

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
• Exercise good judgment in handling payment or billing related issues
• Increase patient satisfaction by consistently representing the organization professionally

Qualifications

• Required: High School diploma or equivalent
• Preferred: Associates degree; additional degrees, business training experience, and/or certifications may be combined to meet minimum qualifications

Requirements

• Required: 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
• Proficient with Windows-style applications and various software packages specific to role
• Strong interpersonal skills
• Customer service focused with demonstrated ability to gather and disseminate information
• Exhibits sound judgment in handling/escalating difficult situations
• Good organizational, time management, interpersonal, and conflict resolution skills
• Excellent decision making skills; good analytical skills with strong attention to detail
• Self-directed with excellent prioritization and organization skills

Job Duties

• Performs daily operations activities such as ensuring accurate and timely collection of all data necessary for processing charges/claims and payments
• Provides recommendations for system improvements to ensure accuracy and consistency of operational activities
• Upholds and supports company service excellence standards by providing excellent customer service
• Performs other duties as assigned by a member of the Management Teams
• Remains knowledgeable on current federal, state, and local laws, accreditation standards, or regulatory agency requirements
• Ensures compliance with all laws, regulations, and standards

Physical and Environmental Demands

• Sedentary Work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently
• Normal routine involves no exposure to blood, body fluid, or tissue
• No occupational risk for exposure to communicable diseases
• May have occupational risk for exposure to hazardous medications or hazardous waste

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 specific areas are not eligible for remote work positions.

Ochsner Health endeavors to make our site accessible to all users. For accommodation requests, please contact our HR Employee Solution Center.

Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class.