Billing Manager
Billing specialist job in Baton Rouge, LA
Full-time Description
Billing Manager
PRIME Occupational Medicine's Mission: PRIME is committed to providing the highest quality medical care for a multitude of businesses through various methods of service. With clinics currently located throughout the Louisiana and Texas regions, PRIME serves the corporate and industrial sectors with 24/7 availability.
Objectives of this role
Oversee and manages all aspects of PRIME's billing department, ensuring accurate and timely invoicing, payment processing and accounts receivable management.
Responsibilities:
Oversees the billing process and ensures accurate and timely invoicing of clients.
Manage a team of billing specialists and provide leadership, training and support as needed.
Review work of billing staff to ensure accuracy, resolving inconsistencies as needed.
Develop and maintain billing policies and procedures to ensure compliance with regulatory requirements.
Identify opportunities to improve billing efficiency and accuracy and implement strategies to achieve these goals.
Review and analyze billing data to identify trends and areas for improvement.
Collaborate with other departments to ensure smooth and efficient billing operations.
Prepare and present billing reports to senior management.
Ensuring the completion of billing requirements to meet set deadlines.
May be required to work overtime and or holidays
May be required to travel
Other duties as assigned
Requirements
Skills and qualifications
Three (3) years of accounting and or billing experience.
Strong customer service experience required.
Strong problem solving skills required.
Ability to work independently, multi-task and set daily goals to meet deadlines.
Resourceful mindset and strong attention to detail
Knowledge of local, state and national laws and regulations related to benefits and employment
Physical Demands: Sitting for prolonged periods of time, lift, carry push, pull or otherwise move objects up to 30 pounds. Repetitive motion. Extensive use of computers and keyboard. Substantial movements (motions) of the wrists, hands, and/or fingers. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Work is performed in an office environment and requires the ability to operate standard office equipment and keyboards. Must have the ability to lift and carry parcels, packages and other items, climb stairs daily, walk short distances, and drive a vehicle to deliver and pick up materials.
Mental Requirements: Learn new tasks, remember processes, maintain focus, complete tasks independently, make timely decisions in the context of a workflow, ability to communicate with employees and visitors, ability to complete tasks in situations that have a speed or productivity quota. Position Unit: PRIMIE Corporate - Exempt: Hourly
Senior Billing Manager
Billing specialist job in Baton Rouge, LA
Description & Requirements is contingent upon contract award* We are currently seeking qualified and motivated professionals interested in joining our team in support of an upcoming federal contract (pending award). This position will play a key role in delivering high-quality services to our government client and will be contingent upon contract award.
As part of this project, you will support a federally funded initiative that provides essential medical readiness services-such as exams, screenings, dental care and preventive care-to individuals in remote or underserved areas. Services are delivered through a network of providers and mobile teams, with remote coordination and scheduling. The program ensures consistent access to care across dispersed populations and contributes to broader public service goals.
Per contact requirements, this position is open only to U.S. citizens.
Essential Duties:
- Prepare all company invoices for review by internal project management and for distribution to customers in a timely and accurate fashion.
- Oversee and manage the entire invoice process from billing to collections, for a variety of contract types.
- Develop invoice structure based on the nature of the contract.
- Perform detailed analysis of unbilled funds and provide recommendations for use of funds.
- Closely monitor customer account activity to ensure that unbilled receivable accounts are reconciled at least monthly.
- Solve problems to ensure the timely resolution of invoice preparation issues (e.g., time and expense corrections, funding modification requests, etc.).
- Prepare year-end audit schedules pertaining to receivables.
- Build and maintain working relationships with other groups, such as project management, contracts, project control analysts, accounts payable, operations, and provide expertise and assistance on billing matters.
Minimum Requirements
- Bachelor's Degree in related field.
- 7-10 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree.
#maxcorp #LI-AM1
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccommodations@maximus.com.
Minimum Salary
$
85,000.00
Maximum Salary
$
115,000.00
DME Billing Coordinator
Billing specialist job in Baton Rouge, LA
We are currently accepting resumes for experienced Medical Billing Coordinators to join our growing billing team! If you are passionate about helping people, have exceptional work ethic and believe your hard work should be rewarded properly then read on! Some duties of this position include:
DME Billing
ICD-10 coding
CPT coding
Claims submission
Follow up on claim rejections
Payment posting
Claim follow up
Insurance verification
Authorizations
Outpatient rehab and/or Chiropractic billing experience preferred but not required
This position will require cross training for all duties within the Billing Department to include insurance verification, authorizations, payment posting and reporting.
Our ideal candidate must have medical billing experience, be reliable, flexible, courteous and friendly.
If you believe you are the perfect fit for us, please submit your resume to be considered for the next step in our interviewing process.
Patient Engagement Representative-Call Center
Billing specialist job in Plaquemine, LA
Job Description
Join CareSouth as a Full-Time Call Center Representative in our onsite Baton Rouge call center, located in Plaquemine, LA. This position offers a unique opportunity to make a meaningful impact on patient experiences while engaging with a supportive team in a relaxed yet high-performance environment. You will leverage your exceptional customer service skills to solve problems and enhance the patient journey in the healthcare sector. With a starting pay of $13.60 per hour, based on experience, you can expect a competitive compensation package that rewards your commitment and innovation.
Experience a culture that values empathy, integrity, and safety while working alongside forward-thinking professionals dedicated to excellence. You will be given great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Flexible Spending Account, and Paid Time Off. Don't miss the chance to thrive in a role that not only boosts your career but also enriches the lives of those in our community. Apply today!
What it's like to be a Patient Engagement Representative Call Center at CARESOUTH
As a Full-Time Patient Engagement Representative at CareSouth, you will play a crucial role in delivering high-quality, efficient, and effective service to our patients through our call center. Your primary responsibility will be to actively cultivate and uphold a professional and positive patient experience, ensuring that each interaction is marked by empathy and attention to detail. By addressing patient inquiries and concerns with care and integrity, you will contribute significantly to our mission of enhancing healthcare delivery. This position empowers you to be a problem solver in a dynamic environment, where your ability to engage sincerely with patients can lead to meaningful improvements in their healthcare experience.
Are you a good fit for this Patient Engagement Representative Call Center job?
To excel as a Full-Time Patient Engagement Representative at CareSouth, candidates must possess a strong foundation of essential skills and knowledge. Exceptional customer service skills are vital, as you will be the first point of contact for patients seeking assistance. Excellent communication abilities, both verbal and written, will enable you to effectively convey information and support to patients. Active listening skills are crucial to understanding patient needs and concerns fully.
Familiarity with HIPAA regulations is required to ensure patient confidentiality and compliance within the healthcare setting. Additionally, a solid understanding of medical clinic operations will enhance your ability to address patient inquiries effectively and navigate the complexities of healthcare services. These skills will empower you to provide a positive and informative patient experience in our dynamic call center environment.
Knowledge and skills required for the position are:
Great Customer Service skills
Excellent Communication skills
Listening skills
HIPAA regulation knowldge.
Medical clinic knowledge.
Get started with our team!
Apply now if this sounds like a great fit for you.
Electronic Billing Specialist/Book-keeping Assistant
Billing specialist job in Baton Rouge, LA
Long Law Firm is seeking for a part-time Electronic Billing Specialist and Book-keeping Assistant to join their firm in Baton Rouge. Education High School Diploma or GED required
Work Experience 2+ years' experience in professional services preferred, but not required
Special Skills
Detail oriented
Moderate experience with Microsoft Office Suite applications: Excel, Word, Teams
Ability to work independently
Responsibilities
Coordinating with accounting in reviewing pre-bills
Responsible for timely submitting invoices and resolving issues for the electronic billing (eBilling) for the Firm in accordance with client billing guidelines as well as collections of those invoices
Set-up and implementation of new eBilling, including obtaining all necessary timekeeper billing rates and ensure client references have been established
Assist in identifying and implementing process improvements
Monitor eBilling systems and all eBilling vendor sites in order to conduct continual and thorough account audits to resolve all invoice rejections or inability to upload invoices, in a timely manner
Providing timely updates to management on invoice status and any related issues
To perform job successfully, an individual should demonstrate the following competencies to perform the essential functions of this job. The below competencies include but are not limited to:
Communication - Communicates effectively and appropriately. Uses good judgment as to what to communicate to whom as well as the best way to get that accomplished. Speaks in a clear and credible manner, selecting the right tone for the situation and audience. Listens to others and allows them to make their point.
Customer Focus - Personally demonstrates that external (or internal) customers are a high priority. Identifies customer needs and expectations and responds to them in a timely and effective manner. Anticipates and prevents delays or other things that can adversely affect the customer. Keeps customers informed about the status of pending actions and inquires about customer satisfaction with products or services.
Dependability - Makes and fulfills commitments. Has established a pattern of working independently, meeting reasonable deadlines, and accepting responsibility for his or her actions. Willingly makes promises and fully intends to keep them. Arrives at work on time and ready to contribute. Shows up for meetings well-prepared.
Flexibility - Adjusts quickly and effectively to changing conditions and demands. Discusses change as a necessary and inevitable aspect of organizational life as well as an opportunity to learn new things. Has a similar view and approach to potentially stressful situations. Invests personal energy toward accepting and adapting to change that others use toward resisting or resenting it.
Positive Outlook - Tends to stay positive, even when others sound negative or struggle to remain upbeat. Sees and provides others with concrete reasons to believe that things will work out well. Notices and acknowledges things that are going well, especially during stressful times.
Patient Representative
Billing specialist job in Baton Rouge, LA
Position:Patient RepresentativeAbout BROC:At the Baton Rouge Orthopedic Clinic our goal is to provide a seamless continuum of health care services to maximize patients' outcomes and convenience. We offer an organized and coordinated continuum to provide better and timelier feedback between the patient, physician, and ancillary services provider. Our main campus is located on Bluebonnet, but we have various clinics and therapies across the state of Louisiana as well as the BROC foundation that supports local schools and athletic programs by providing services throughout various communities.Summary:The Patient Representative ensures that our patient phone calls are answered in a prompt and courteous manor. This position will be responsible for accurately scheduling patient appointments based on BROC and physician protocols. This position is housed in our call center located in the medical clinic in the Bluebonnet office and reports to our office supervisor. The hours of operation are Monday- Friday 8am - 5pm. We are looking for dedicated and caring team members join our team!Duties:· Answers the telephone promptly and courteously.· Routes all complex medical or financial inquiries to the correct department.· Screens patient inquiries and requests for treatment and asks for a problem description to determine priority of treatment.· Schedules new and follow-up appointments and ensures accuracy of appointments.· Closely follows scheduling policy to ensure fair and impartial treatment of all physicians.· Performs other related duties as assigned and serves in whatever other capacity deemed necessary for successful completion of the mission and goals of BROC.Qualifications:· High School Diploma or equivalent· Ability to learn electronic practice management and scheduling software.· Ability to understand and closely adhere to patient scheduling policies, guidelines, and protocols.· Reliable form of transportation to work daily· Prior experience in scheduling is desired· Ability to pass a drug screening· Ability to learn computerized medical office work Benefits:· Medical, Dental, and Vision Insurance· Vacation Pay· Sick Pay· Holiday Pay· Long- and Short-Term Disability Options· Life InsuranceSalary:$13-18 hourly The Baton Rouge Orthopedic Clinic is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity, gender expressions, age, status of as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.companionate care…advances technologies…specialized healing
View all jobs at this company
Account Representative - Uncapped Commission
Billing specialist job in Baton Rouge, LA
Country USA State Louisiana City East Baton Rouge Parish Descriptions & requirements About the role: The Account Representative role at TQL is an opportunity to build a career with a logistics industry leader that offers an award-winning culture and high earning potential with uncapped commission. More than just an entry level sales role, you will be responsible for supporting and working with an established sales team to identify areas of opportunity with their customers to drive revenue. No experience necessary; you will start your career in an accelerated training program to learn the logistics industry. Once training is complete, you focus on growing new and existing business by presenting TQL customers with our transportation services and handling freight issues 24/7/365.
What's in it for you:
* $40,000 minimum annual salary
* Uncapped commission opportunity
* Want to know what the top 20% earn? Ask your recruiter
Who we're looking for:
* You compete daily in a fast-paced, high-energy environment
* You're self-motivated, set ambitious goals and work relentlessly to achieve them
* You're coachable, but also independent and assertive in solving problems
* You're eager to develop complex logistics solutions while delivering great customer service
* College degree preferred, but not required
* Military veterans encouraged to apply
What you'll do:
* Communicate with the sales team and customers as the subject matter expert to build and maintain relationships
* Manage projects from start to finish while overseeing daily shipments and resolve issues to ensure pickups and deliveries are on time
* Work with the sales team to provide and negotiate competitive pricing
* Input, update and manage shipment information in our state-of-the-art systems
* Collaborate with the support team to guarantee each shipment is serviced properly
* Assist with billing and accounting responsibilities as needed
What you need:
* Elite work ethic, 100% in-office, expected to go above and beyond
* Extreme sense of urgency to efficiently juggle dynamic operations
* Strong communication skills with ability to handle conflict
* Solution-focused mindset and exceptional customer service
* Ability to work with the latest technologies
Why TQL:
* Certified Great Place to Work with 800+ lifetime workplace award wins
* Outstanding career growth potential with a structured leadership track
* Comprehensive benefits package
* Health, dental and vision coverage
* 401(k) with company match
* Perks including employee discounts, financial wellness planning, tuition reimbursement and more
Where you'll be: 2900 Westfork Drive, East Baton Rouge Parish, Louisiana 70827
Employment visa sponsorship is unavailable for this position. Applicants requiring employment visa sponsorship now or in the future (e.g., F-1 STEM OPT, H-1B, TN, J1 etc.) will not be considered.
About Us
Total Quality Logistics (TQL) is one of the largest freight brokerage firms in the nation. TQL connects customers with truckload freight that needs to be moved with quality carriers who have the capacity to move it.
As a company that operates 24/7/365, TQL manages work-life balance with sales support teams that assist with accounting, and after hours calls and specific needs. At TQL, the opportunities are endless which means that there is room for career advancement and the ability to write your own paycheck.
What's your worth? Our open and transparent communication from management creates a successful work environment and custom career path for our employees. TQL is an industry-leader in the logistics industry with unlimited potential. Be a part of something big.
Total Quality Logistics is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, genetic information, disability or protected veteran status.
If you are unable to apply online due to a disability, contact recruiting at ******************
*
Billing Specialist
Billing specialist job in Baton Rouge, LA
Full-time Description
Responsible for helping coordinate the billing, cash posting, and collection of outstanding accounts in the Business Office. Provides assistance and backup for the Revenue Cycle Director.
Prepare billing files to send electronically, checking for accuracy. Document accounts. Verify files were received by SSI. Keep applicable spreadsheets with totals.
Prepare hard copy claims to send daily, checking for accuracy. Document accounts.
Work on the Process Rejection Batch routine and make corrections.
Print and work the Late Charges report.
Compile and upload Bad Debt files to collection agency.
Compile and upload Patient Statement files to third-party vendors.
Compile credit balance report, verify refunds for accuracy, and process refund list. Submit it to the director for review and approval. Final approval by CFO.
Responsible for checking each assigned payer's remittances against the system's expected reimbursement. Research any variances and appeal remittance if necessary. Promptly report any trends or issues to the Revenue Cycle Director.
Aggressively work to reduce AR by following up on denials, underpayments, and overpayments.
Work with the Reimbursement Specialist to appeal underpayments and denials.
Work on claims denied due to no authorization, incorrect codes, improper billing, etc., to resolve them promptly.
Review accounts for further collection, including phone calls, letters, final notices, and collection agency representation.
Works closely with the Director on accounts that need to be assigned to agency and/or suits, including getting further approval (if required), documenting accounts, and following the next steps.
Stays current on any updates or changes made to the computer system or other software programs, laws, or continuing education used in the hospital regarding billing or account collection.
Sorts, responds to, documents, and files correspondence.
Helps resolve problems, answers inquiries, and liaises with internal and external customers on patient account issues.
Provides back-up for other positions in the department.
Make recommendations to the Director on ways to improve efficiencies or processes for the department.
Handles special projects as assigned by Management or any other duties assigned.
As an employee of SHOLA, you are responsible for ensuring we comply with all federal and state privacy protection laws and regulations (HIPAA). You must recognize protected health information (PHI) that requires protection, determine when it is permissible to access, use, or disclose PHI, and reduce the risk of impermissible access to, use, or disclosure of PHI.
Exceptional patient satisfaction is the expected culture at SHOLA. Each employee is responsible for delivering exceptional patient satisfaction in all encounters with patients, families, and visitors. You are responsible for always holding yourself and your peers accountable for providing excellent patient satisfaction.
The statements mentioned above outline the general duties necessary to describe the essential functions of this position. However, they are not meant to be considered a comprehensive description of all the work requirements that may be inherent in the position.
Requirements
Education: A high school diploma or equivalent is required, and a college degree in a business-related field is preferred.
Experience: At least three (3) years of experience in a medical business office environment performing billing, payment posting, follow-up, and collections is preferred.
Licenses/Certificates: None
Special Skills: Knowledge of complete revenue cycle processes, including billing government programs such as Medicare and Medicaid, commercial payers and other third parties and patients, reimbursement from all payers, contract evaluation for proper payment adjudication and patient responsibility, and denial management. Must know medical terms, CPT/HCPCS codes, ICD-10 codes, etc. Excellent communication skills, including written, spoken, and listening skills, are essential. Must be a “team player” and be able to teach skills to others. Must have excellent interpersonal and organizational skills and can always work positively and professionally. Must possess good time management skills, problem-solving, and critical thinking skills. Must be proficient in Excel and Word. Knowledge of Meditech, SSI, Passport, and other systems related to the job is a plus, as well as the ability to understand and apply state and federal healthcare billing laws and regulations.
Reports To: Revenue Cycle Director
Positions reporting directly to this position: None
Billing Specialist
Billing specialist job in Baton Rouge, LA
Job Description
The Billing Specialist is responsible for managing and processing client bills with the attorneys and their staff utilizing the Firm's billing platforms and facilitating electronic billing submissions.
Responsibilities:
Coordinate with attorneys, staff and clients to generate, distribute, edit, and finalize legal bills through various billing formats, including a paperless prebill software system.
Facilitate resolution of e-billing issues.
Prepare reports and materials necessary to track billings.
Maintain master client files in the Elite Legal Billing system.
Perform additional billing duties as assigned by the Billing Manager or Regional Office Manager.
Minimum Acceptable Qualifications:
Proficient in Microsoft Office 2010 applications, including Excel; experience with Elite Legal Billing system and strong technology skills a plus.
Ability to perform basic math calculations.
Ability to multi-task with attention to detail.
Excellent written and verbal communication skills.
Ability to handle a high volume of billings per month.
Ability to work overtime, as needed.
Accounting degree preferred.
Law firm or professional services experience preferred
Working Conditions:
This position requires sitting for long periods of time while operating a computer. At times, employees are required to work in excess of the normal work schedule. Employees in this position must be mobile, have the ability to bend, and have ability to lift and carry files weighing approximately 10-15 lbs.
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Senior Specialist, Account Management
Billing specialist job in Baton Rouge, LA
**_What Account Management contributes to Cardinal Health_** Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Account Management is responsible for cultivating and maintaining on-going customer relationships with an assigned set of customers. Provides new and existing customers with the best possible service and recommendations in relation to billing inquiries, service requests, improvements to internal and external processes, and other areas of opportunity. Provides product service information to customers and identifies upselling opportunities to maintain and increase income streams from customer relationships.
**_Responsibilities_**
+ Oversee assigned Medical Products and Distribution customer(s) as it pertains to supply chain health and general service needs
+ Bridge relationships between the customer's supply chain team and internal Cardinal Health teams to ensure flawless service
+ Support customer expectations and requirements through proactive account reviews, and regular engagement and review of key initiatives
+ Prevent order disruption to customer through activities such as: elimination of potential inventory issues, substitution maintenance, core list review, and product standardization and conversions
+ Resolve open order issues by reviewing open order and exception reports, analyzing trends, and partnering with customer to take alternative actions as needed
+ Advocate for customer and partner across Cardinal Health servicing teams to bring rapid and effective resolution to customer's issues, requests and initiatives
+ Track, measure, and report key performance indicators monthly
+ Build and maintain long-term trusted relationships with customer to support retention and growth of the account
**_Qualifications_**
+ Bachelor's degree in related field, or equivalent work experience, preferred
+ 2-4 years of experience, preferred
+ Direct customer facing experience preferred
+ Strong communication skills
+ Strong command of MS Office applications (Excel, PowerPoint, Word and Outlook)
+ Demonstrated ability to work in a fast-paced, collaborative environment
**_What is expected of you and others at this level_**
+ Requires client onsite visits as deemed necessary.
+ Adherence to client's facility policies and vendor credentialing requirements.
+ Applies working knowledge in the application of concepts, principles, and technical capabilities to perform varied tasks
+ Works on projects of moderate scope and complexity
+ Identifies possbile solutions to a variety of technical problems and takes actions to resolve
+ Applies judgment within defined parameters
+ Receives general guidance may receive more detailed instruction on new projects
+ Work reviewed for sound reasoning and accuracy
**Anticipated salary range:** $57,000-$85,680
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 12/05/2025 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
\#LI-Remote
\#LI-SP1
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Patient Access Representative 1 - Hospital
Billing specialist job in Baton Rouge, LA
The Patient Access Representative 1 (PAR1) is responsible for accurately registering inpatients, outpatients, and/or ER patients in the EMR, including validating patient information, verification of insurance coverage, calculation of and collection of patient co-insurance/deductibles/co-pays, authorization for services, and balancing of cash. the PAR1 ensures the patient's experience is best in class and demonstrates effective communication skills with patients and families, physicians, nurses, and insurance companies. The PAR1 is knowledgeable of and compliant with federal and state regulations related to acute-care patient registration.
Responsibilities
* Registration
* Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty. Represents the Patient Access department in a professional, courteous manner at ALL times. Asks patients if they may have special needs. Calls patients by name, Greets patients in a courteous and professional manner. Prioritizes and completes registration in a consistent, courteous, professional, accurate and timely manner.
* Obtains necessary information from patient, including demographic information, insurance, guarantor, and correctly inputs it into registration software. If patient is already in the system, finds correct patient record and verifies information in the system.
* Uses critical thinking skills to evaluate each registration situation to ensure customized registration experience based on individual patient circumstances. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker's compensation regulations, victims of sexually-oriented criminal offenses regulation, 2 midnight rules, ABN's, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration
* Ensures each patient is assigned only one medical record number.
* Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents such as Hospital consent forms, assignment of benefits, patient rights, etc.
* Extensively documents each encounter in account notes to ensure successful cross-function communication.
* Ensures orders are received and are consistent with tests/procedures.
* Monitors the waiting room, facilitates patient flow, and resolves issues regarding orders or missing/conflicting information, to ensure timely and accurate patient registration.
* Insurance and Benefits Knowledge
* Demonstrates knowledge of insurance plans, including understanding of varying payer rules and requirements related to insurance coverage and prior authorization
* Verifies eligibility (utilizing online eligibility software tools whenever possible) and obtains necessary authorizations for services rendered.
* Selects correct insurance plans in the registration software, in the correct order (primary versus secondary).
* Has understanding of required forms (including Medicare Secondary Payer Questionnaire) and has ability to explain them to the patient.
* Utilizes payment estimator software to calculate patient financial responsibility. Uses critical thinking skills to determine correct data input during the estimate process and to verify accuracy of output.
* Determines when patients may be eligible for financial assistance and directs patients to appropriate resources.
* Financial Collections
* Uses proven customer service techniques and scripting to collect the patient financial obligation, at or before the time of service. Negotiates with patient to ensure a deposit is collected, in accordance with corporate policy and procedure.
* Understands and explains the details of the out-of-pocket calculation.
* Analyzes documentation/notes on current and previous accounts in order to explain balances to the patient.
* Demonstrates knowledge and ability to complete account acknowledgement forms when appropriate.
* Collects cash, prints receipts, and balances cash drawers.
* Other Duties as Assigned
* Performs all other duties as assigned.
Qualifications
Education: High School diploma or equivalent.
Experience: 1 year customer service experience or related certification (e.g. Certified Coder, Certified Medical Assistant) substitutes for 1 year of experience.
Billing Specialist
Billing specialist job in Franklin, LA
Job DescriptionSalary: $14.48 - $20.00
Teche Health, A Federally Qualified Health Center, per Section 330 of the Public Health Service Act, is currently seeking qualified applicants for the Billing Specialist position in Franklin, Louisiana.
JOB SUMMARY:
The Billing Specialist is responsible for processing and managing all aspects of medical billing for the practice, including claim submission, payment posting, and follow-up on unpaid or denied claims. This position requires excellent attention to detail, knowledge of insurance regulations, and strong communication skills. This position is in charge of the following: posting patients' accounts, ensuring all charges are accounted for, assisting patients' in account inquiries and monitoring accounts for accuracy.
JOB DUTIES AND
RESPONSIBILITIES:
Researches all information needed to complete billing process including obtaining charge information from physicians
Works with other staff to follow up on accounts until zero balances
Contacting payers on denials and correcting claims for resubmission and payment
Assists with answering the telephone, taking and relaying messages
Maintains required billing records, reports and files
Ensure claims are compliant with payer-specific requirements and HIPAA regulations
Maintain accurate patient billing records and documentation
Work with the Billing Supervisor to resolve complex billing issues
Ensure timely submission of claims to meet billing cycles
Understands and observes organization policies regarding confidentiality and security of information
Retrieve online remittance advice
Posts all payments to patient accounts accordingly and in a timely manner
Assist PSR's with billing and account inquiries
Working assigned special projects as needed
Other duties may be assigned
QUALIFICATIONS:
Education/Experience:
High school diploma or GED, completion of a medical terminology course or equivalent prior experience demonstrating basic knowledge of medical terminology
2+ years of medical billing experience in a healthcare setting
Strong knowledge of CPT, ICD-10 coding, and HIPAA
Proficient in billing software and EHR systems (experience with ECW a plus).
Strong attention to detail and organizational skill
Math Ability:
Basic understanding of mathematics
Computer Skills:
Understanding of Microsoft Office (Excel, Word, etc)
Professional and Communication Skills
Must be able to communicate with patients and workers in a professional manner
Follow basic instructions
Work independently and as part of a team
Be able to work with a deadline
Be able to operate a fax machine, copier, adding machine and a multi-line telephone
Benefits Package:
Medical, Vision and Dental Health Insurance
Accidental Insurance
Critical Illness Insurance
Long Term Benefits
Short Term Benefits
Free Life Insurance
401K Plan Benefits
Paid Vacation
Paid Sick Time
Set Schedule
No Weekends
National Health Service Corps Site
11 paid holidays
Family-Friendly Work Environment
Eligible for Student Loan Forgiveness through Federal and State Programs
Eligibility Requirements:
All employees must meet eligibility standards in order to be considered for the position applying for. Internal applicants must be with be with the organization for at least one year, with no disciplinary actions on file. If you have not been with the organization for a year, approval from your direct supervisor will be needed.
**Due to CMS Mandate all applicants must be fully vaccinated prior to onboarding with Teche Health with the exception of an approved Medical or Religious Exemption.**
Collector
Billing specialist job in Baton Rouge, LA
The NeuroMedical Center is seeking a detail-oriented and dedicated Collector to join our team. This role is responsible for a variety of billing, collections, and patient account management tasks to ensure accurate and timely reimbursement from insurance companies and patients. The ideal candidate will have strong communication skills, excellent organizational abilities, and a commitment to maintaining patient confidentiality in compliance with HIPAA regulations.
Key Responsibilities:
Process and review all Explanation of Benefits (EOBs).
Respond to incoming calls and correspondence from insurance companies.
Address patient inquiries related to account balances and billing questions.
Follow up on submitted claims and file claims that have not yet been submitted.
Work assigned collection reports to ensure timely resolution of outstanding accounts.
Review and manage the Delinquent Claims Report on a monthly basis.
Prepare daily batches and maintain accurate documentation for all batch entries.
Analyze and work Accounts Receivable (A/R) reports as directed by management.
Process refund requests accurately and in a timely manner.
Review and work the delinquent account list at least two days before a patient's scheduled appointment.
Manage the Installment Agreement Report on a monthly basis.
Strictly adhere to The NeuroMedical Center's Patient Confidentiality Policy.
Maintain secure access to protected health information (PHI) through assigned computer passwords and medical record systems, ensuring compliance with HIPAA privacy regulations.
Requirements
Qualifications:
High school diploma or equivalent required; associate degree in business, healthcare administration, or a related field preferred.
1-2 years of experience in medical billing, collections, or patient account services preferred.
Strong knowledge of insurance claims processing and EOBs.
Excellent interpersonal and communication skills for both patient and insurance company interactions.
Proficiency in using healthcare billing systems and Microsoft Office applications.
Ability to maintain strict confidentiality and handle sensitive information appropriately.
Strong organizational skills and attention to detail.
Accounts Receivable
Billing specialist job in Port Allen, LA
Fluker Farms is looking for full-time personnel to assist in our Office Division handling Accounts Receivables. Fluker's, founded in 1953, is a family-owned business located in Port Allen, Louisiana. Fluker's offers PTO, 401k, Health Insurance, etc. to all full time employees.
Essential Functions/ Job Responsibilities;
Accurately prepares A/R reports and distributes client statements monthly- by keeping all A/R reports updated daily.
Consistently stays in contact with client regarding open A/R accounts for updates.
Verifies client accounts to ensure that postings of payments are done accurately and correctly.
Assists clients with verifying discrepancies, resolving discrepancies or any additional questions concerning their A/R reports.
Demonstrates overall courtesy and caring to clients and coworkers.
Understand and demonstrate discretion in operating with financial data.
Maintains a clean and tidy work area.
Any other duties as assigned.
Competencies:
Excellent verbal and written communication skills.
Strong attention to detail.
Able to work independently and collaborative with coworkers and management.
Customer service-oriented.
Negotiation skills.
Time Management.
Technical capacity.
Requirements:
1 year of A/R experience.
Demonstrates accuracy and meticulous attention to detail.
QuickBooks Online experience is helpful but not required.
Strong working knowledge of Microsoft Excel and Microsoft 365.
Associate's or Bachelor's degree in accounting preferred.
Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time.
Job Type: Full-time
Work Location: In person
Benefits:
401(k)
Health insurance
Paid time off
Supplemental Pay:
Bonus opportunities
Ability to Commute:
Port Allen, LA 70767 (Required)
DME Billing Coordinator
Billing specialist job in Baton Rouge, LA
Job Description
We are currently accepting resumes for experienced Medical Billing Coordinators to join our growing billing team! If you are passionate about helping people, have exceptional work ethic and believe your hard work should be rewarded properly then read on! Some duties of this position include:
DME Billing
ICD-10 coding
CPT coding
Claims submission
Follow up on claim rejections
Payment posting
Claim follow up
Insurance verification
Authorizations
Outpatient rehab and/or Chiropractic billing experience preferred but not required
This position will require cross training for all duties within the Billing Department to include insurance verification, authorizations, payment posting and reporting.
Our ideal candidate must have medical billing experience, be reliable, flexible, courteous and friendly.
If you believe you are the perfect fit for us, please submit your resume to be considered for the next step in our interviewing process.
Billing Supervisor - Veterans Evaluation Services
Billing specialist job in Baton Rouge, LA
Description & Requirements Maximus is currently hiring for a Billing Supervisor to join our Veterans Evaluation Services (VES) team. This is a remote position. The Billing Supervisor is responsible for creating, adjusting, and implementing procedures and protocols, acting as manager in the event of manager's absence; and creating and maintaining billing training and reference materials. Additionally, they maintain SOPs and billing best practices as well as monitor billing performance for quality and adherence to procedural guidelines.
Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity.
Essential Duties and Responsibilities:
- Supervise the work of billing representatives to ensure adherence to quality standards, deadlines, and proper procedures as well as correcting errors or problems as needed.
- Conduct routine audits to confirm high level performance and processing is accurate.
- Address any issues found from the audits with the billing representatives.
- Provide support and identify training needs and development opportunities through coaching sessions for the billing representatives.
- Evaluate job performance and ensure the billing representatives meet billing criteria such as work completion, attendance, and contractual obligations.
- Ensure compliance with Wage & Hour policy.
- Monitor overtime necessity and engage team as necessary.
- Participate in team hiring and separation decisions.
Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment.
Home Office Requirements Using Maximus-Provided Equipment:
- Internet speed of 20mbps or higher required (you can test this by going to ******************
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccommodations@maximus.com.
Minimum Salary
$
60,000.00
Maximum Salary
$
60,000.00
Patient Engagement Representative
Billing specialist job in Plaquemine, LA
Job Description
Join CareSouth as a Full-Time Patient Engagement Representative and be the welcoming face that guides our patients through their healthcare journey! Located in Plaquemine, this onsite position allows you to engage directly with individuals seeking assistance, making a significant impact in their lives while showcasing your problem-solving skills. You'll thrive in a relaxed, yet high-performance environment that values empathy and innovation. At a competitive pay rate of $13.60 per hour, you'll find fulfillment in helping others in a professional setting surrounded by a forward-thinking team. If you're an office professional eager to contribute to a safe and supportive medical clinic atmosphere, this is the perfect opportunity for you.
You can get great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Flexible Spending Account, and Paid Time Off. Take the first step in your rewarding career today by applying!
What does a Patient Engagement Representative do?
As a Patient Engagement Representative at CareSouth, you will play a vital role in delivering high-quality, efficient service to our patients. Your commitment to accuracy and completeness in inputting patient information will directly impact the care we provide. This position requires you to engage customers with compassion and empathy, ensuring that every interaction is characterized by a warm smile and attentive service.
By actively working to create and maintain a professional and positive patient experience, you will not only enhance patient satisfaction but also foster trust and rapport within our clinic. Join us in making a difference in the lives of those we serve!
Does this sound like you?
To excel as a Patient Engagement Representative at CareSouth, you must possess a unique blend of skills that ensure seamless interactions with patients. Strong computer skills are essential for efficiently managing patient information and utilizing healthcare software. Excellent verbal and written communication skills will enable you to convey vital information with clarity and compassion. A friendly and welcoming demeanor is crucial, as you will be the first point of contact for our patients. Additionally, exceptional interpersonal communication skills will help you build rapport and trust.
The ability to effectively resolve conflicts with empathy and professionalism will ensure a positive experience for all patients. These skills will empower you to thrive in a high-performance environment dedicated to innovative healthcare solutions.
Knowledge and skills required for the position are:
Must have strong computer skills.
Excellent verbal and written communication skills.
Be friendly, welcoming and compassionate.
Exceptional interpersonal communication skills
Must be able to effectively resolve conflicts
Get started with our team!
If you have these qualities and meet the basic job requirements, we'd love to have you on our team. Apply now using our online application!
Billing Specialist
Billing specialist job in Baton Rouge, LA
The Billing Specialist is responsible for managing and processing client bills with the attorneys and their staff utilizing the Firm's billing platforms and facilitating electronic billing submissions.
Responsibilities:
Coordinate with attorneys, staff and clients to generate, distribute, edit, and finalize legal bills through various billing formats, including a paperless prebill software system.
Facilitate resolution of e-billing issues.
Prepare reports and materials necessary to track billings.
Maintain master client files in the Elite Legal Billing system.
Perform additional billing duties as assigned by the Billing Manager or Regional Office Manager.
Minimum Acceptable Qualifications:
Proficient in Microsoft Office 2010 applications, including Excel; experience with Elite Legal Billing system and strong technology skills a plus.
Ability to perform basic math calculations.
Ability to multi-task with attention to detail.
Excellent written and verbal communication skills.
Ability to handle a high volume of billings per month.
Ability to work overtime, as needed.
Accounting degree preferred.
Law firm or professional services experience preferred
Working Conditions:
This position requires sitting for long periods of time while operating a computer. At times, employees are required to work in excess of the normal work schedule. Employees in this position must be mobile, have the ability to bend, and have ability to lift and carry files weighing approximately 10-15 lbs.
Auto-ApplyBilling Specialist
Billing specialist job in Franklin, LA
Teche Health, A Federally Qualified Health Center, per Section 330 of the Public Health Service Act, is currently seeking qualified applicants for the Billing Specialist position in Franklin, Louisiana.
The Billing Specialist is responsible for processing and managing all aspects of medical billing for the practice, including claim submission, payment posting, and follow-up on unpaid or denied claims. This position requires excellent attention to detail, knowledge of insurance regulations, and strong communication skills. This position is in charge of the following: posting patients' accounts, ensuring all charges are accounted for, assisting patients' in account inquiries and monitoring accounts for accuracy.
JOB DUTIES AND
RESPONSIBILITIES:
Researches all information needed to complete billing process including obtaining charge information from physicians
Works with other staff to follow up on accounts until zero balances
Contacting payers on denials and correcting claims for resubmission and payment
Assists with answering the telephone, taking and relaying messages
Maintains required billing records, reports and files
Ensure claims are compliant with payer-specific requirements and HIPAA regulations
Maintain accurate patient billing records and documentation
Work with the Billing Supervisor to resolve complex billing issues
Ensure timely submission of claims to meet billing cycles
Understands and observes organization policies regarding confidentiality and security of information
Retrieve online remittance advice
Posts all payments to patient accounts accordingly and in a timely manner
Assist PSR's with billing and account inquiries
Working assigned special projects as needed
Other duties may be assigned
QUALIFICATIONS:
Education/Experience:
High school diploma or GED, completion of a medical terminology course or equivalent prior experience demonstrating basic knowledge of medical terminology
2+ years of medical billing experience in a healthcare setting
Strong knowledge of CPT, ICD-10 coding, and HIPAA
Proficient in billing software and EHR systems (experience with ECW a plus).
Strong attention to detail and organizational skill
Math Ability:
Basic understanding of mathematics
Computer Skills:
Understanding of Microsoft Office (Excel, Word, etc)
Professional and Communication Skills
Must be able to communicate with patients and workers in a professional manner
Follow basic instructions
Work independently and as part of a team
Be able to work with a deadline
Be able to operate a fax machine, copier, adding machine and a multi-line telephone
Benefits Package:
Medical, Vision and Dental Health Insurance
Accidental Insurance
Critical Illness Insurance
Long Term Benefits
Short Term Benefits
Free Life Insurance
401K Plan Benefits
Paid Vacation
Paid Sick Time
Set Schedule
No Weekends
National Health Service Corps Site
11 paid holidays
Family-Friendly Work Environment
Eligible for Student Loan Forgiveness through Federal and State Programs
Eligibility Requirements:
All employees must meet eligibility standards in order to be considered for the position applying for. Internal applicants must be with be with the organization for at least one year, with no disciplinary actions on file. If you have not been with the organization for a year, approval from your direct supervisor will be needed.
**Due to CMS Mandate all applicants must be fully vaccinated prior to onboarding with Teche Health with the exception of an approved Medical or Religious Exemption.**
Patient Access Representative 1 - ED (7a-7p)
Billing specialist job in Gonzales, LA
The Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Registration includes validating patient identity, collecting ED-specific screening information, coordinating with ED nurses to ensure patients are triaged in a timely manner, verification of insurance coverage, calculation of and collection of patient co-insurance/deductibles/co-pays, determination of in-network and out-of-network status post-stabilization, and balancing of cash. In this fast-paced, high-stress environment, the PAR1 demonstrates professional/effective communication skills with patients and families, physicians, and nurses. They manage patient and visitor concerns during traumas and disasters. The PAR1 is knowledgeable of and compliant with federal and state regulations related to acute-care patient registration, with special emphasis on EMTALA regulations and the No Surprises Act. Team members in the ED must be flexible to change and have an ability to adapt and adjust to a constantly changing environment. Must be able to respond to disaster activation with plans to work on-site until conclusion of activation.
Responsibilities
* Registration
* Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty. Represents the Patient Access department in a professional, courteous manner at ALL times. Asks patients if they may have special needs. Calls patients by name, Greets patients in a courteous and professional manner. Prioritizes and completes registration in a consistent, courteous, professional, accurate and timely manner.
* Accurately identify patients that present to the ER without proof of legal identification (Identification card, Driver's license, Passport, etc.) due to EMTALA regulations
* Obtains necessary information from patient, including demographic information, insurance, guarantor, and correctly inputs it into registration software. If patient is already in the system, finds correct patient record and verifies information in the system.
* Uses critical thinking skills to evaluate each registration situation to ensure customized registration experience based on individual patient circumstances. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker's compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN's, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration
* Managing the special needs of patients/ family members and visitors during active traumatic situations and disaster events
* Coordinate registration intake of trauma, stroke and heart alerts to ensure timely triage
* Ensures each patient is assigned only one medical record number.
* Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents such as Hospital consent forms, assignment of benefits, patient rights, etc.
* Extensively documents each encounter in account notes to ensure successful cross-function communication.
* Ensures orders are received and are consistent with tests/procedures.
* Monitors the waiting room, facilitates patient flow, and resolves issues regarding orders or missing/conflicting information, to ensure timely and accurate patient registration.
* Effectively communicate with patient, family, visitors, EMS, RNs and providers simultaneously
* Insurance and Benefits Knowledge
* Demonstrates knowledge of insurance plans, including understanding of varying payer rules and requirements related to insurance coverage
* Verifies eligibility (utilizing online eligibility software tools whenever possible) and obtains necessary authorizations for services rendered.
* Selects correct insurance plans in the registration software, in the correct order (primary versus secondary).
* Has understanding of required forms (including Medicare Secondary Payer Questionnaire) and has ability to explain them to the patient.
* Utilizes payment estimator software to calculate patient financial responsibility. Uses critical thinking skills to determine correct data input during the estimate process and to verify accuracy of output.
* Determines when patients may be eligible for financial assistance and directs patients to appropriate resources.
* Financial Collections
* Uses proven customer service techniques and scripting to collect the patient financial obligation, at or before the time of service. Negotiates with patient to ensure a deposit is collected, in accordance with corporate policy and procedure.
* Understands and explains the details of the out-of-pocket calculation.
* Expectation to collect out-of-pocket responsibility at patient bedside without prior benefit information prior to service while navigating around patient care team
* Analyzes documentation/notes on current and previous accounts in order to explain balances to the patient.
* Demonstrates knowledge and ability to complete account acknowledgement forms when appropriate.
* Collects cash, prints receipts, and balances cash drawers.
* Other Duties as Assigned
* Performs all other duties as assigned.
Qualifications
Experience:
1 year customer service experience or related certification (e.g. Certified Coder, Certified Medical Assistant)
Education:
High School diploma or equivalent
Special Skills:
Advanced clerical and computer skills, critical thinking skills, ability to work in high-stress situations, professional appearance and behavior, good communication skills, dependability, flexibility, teamwork.