Senior Collections Representative

Job Posting: Senior Collector Representative (Onsite & Hybrid)

Overview: Join us as a Senior Collector Representative! This role is 100% onsite for the first 90 days or the duration of the contract, transitioning to a hybrid model with biweekly onsite presence thereafter.

As a senior representative, you will be viewed as a leader, necessitating fluency in the revenue cycle process, including billing, reimbursement, and coding knowledge. The ideal candidate will have a robust background in billing and follow-up, coupled with leadership experience as a lead or supervisor. We seek someone who enjoys patient interaction, can de-escalate hostile situations, and delivers A-level customer service. Your ability to motivate the team and assist with audits and coaching to enhance productivity is crucial.

Primary Responsibilities:

• Ensure timely submission of all professional claims assigned.
• Work with daily electronic billing files and submit insurance claims to third-party payers.
• Review daily edit reports from the professional billing system and make necessary corrections for electronic submission.
• Identify and correct errors from electronic payers to ensure accurate claim submission.
• Monitor claim rejections for trends and report findings to the supervisor.
• Prepare and submit manual insurance claims for third-party payers requiring special handling.
• Coordinate medical record requests as needed.
• Document billing activity on patient accounts, ensuring compliance with state and federal regulations.
• Collaborate with supervision, management, and patient accounting staff to improve processes and achieve departmental goals.
• Adhere to best practices in billing, follow-up, and customer service.
• Participate in staff training on Medicare/Medicaid requirements and general billing and follow-up processes.
• Act in accordance with the organization's mission and values, serving as a role model for ethical behavior.
• Adhere to federal and state regulations regarding patient information protection (e.g., HIPAA).

Qualifications:

Education/Experience:

• Required: High School Diploma/GED or equivalent OR 2 years of work experience.
• Preferred: 3 years of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing, or denial management.

Licenses and Certifications:

• Certification in billing and/or coding.

Knowledge, Skills, and Abilities:

• Ability to pass a basic computer skills test and system-level training.
• Working knowledge of system reports and the ability to analyze system information.
• Demonstrates knowledge of hospital and professional billing processes, reimbursement, third-party contracting, insurance protocols, ERISA guidelines for denials and appeals, and regulations related to denials and appeals.
• Ability to identify problems, conceptualize resolutions, and implement changes.
• Efficient time-management skills and proven ability to multitask under tight deadlines.
• Excellent customer service skills.
• Effective writing and communication skills.
• Strong comfort level with computer systems.

Work Shift:

• Days (United States of America), 8:00 AM - 4:30 PM.

About Us: We are a community dedicated to making health happen. While our NOLA roots run deep, our mission extends to bringing the best possible care to every person and parish in Louisiana and beyond. We celebrate authenticity, originality, equity, inclusion, and a welcoming attitude as the foundation of our culture of everyday extraordinary.

Our Core Values:

• 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.

Equal Opportunity Employer: We are 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.

Application Process:

1. Complete the application for employment fully and accurately to avoid delays.
2. Employment and background information may be verified to ensure quality care and service.
3. Applications are inactive after 6 months, requiring a new application for employment thereafter.
4. Proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

Interview Availability:

• 06/18, 11:00 AM - 2:00 PM CST
• 06/21, 11:00 AM - 12:30 PM CST

Commitment to 24-48 Hours Sub/Interview Follow-Up: Yes

Schedule:

• 8:00 AM - 4:30 PM

Selling Points:

• Great opportunity to join a highly sought-after organization in NOLA!
• Opportunity to grow within the organization.

Must-Have Skills/Qualifications:

• Lockbox, medical records, billing, follow-up, and revenue cycle knowledge.

Nice to Have Skills:

• Lead, supervisor experience.

Soft Skills/Attributes:

• Ability to de-escalate
• Empathetic
• Critical thinker

Explore this exciting opportunity and apply today to join our extraordinary team!