ppThis position is to generate insurance claims and patient statement billing in a timely and efficient manner in accordance with the Facility policies. In addition, Position is responsible for working the accounts receivable to collect outstanding balances from insurance companies and patients to include working all claim denials, appeal of improper payments and resolution of credit balances. /p h3Benefits /h3 ul li401(k) /li li401(k) matching /li liDental insurance /li liHealth insurance /li liPaid time off /li liVision insurance /li /ul h3Job Summary /h3 pThis position is to generate insurance claims and patient statement billing in a timely and efficient manner in accordance with the Facility policies. In addition, Position is responsible for working the accounts receivable to collect outstanding balances from insurance companies and patients to include working all claim denials, appeal of improper payments and resolution of credit balances. /p pReviews financial obligation with patient and family member. May perform pre-qualification of third party coverage of scheduled procedures. Participates in cross-training for other Business Office positions. /p pReports To: Business Office Manager /p pClassification: Non Exempt /p h3Qualifications /h3 pHigh School graduate or equivalent /p pMinimum of two years experience in hospital or medical facility business office. /p h3Automated Billing System Experience Preferred /h3 h3OCCUPATIONAL EXPOSURE /h3 h3Responsibilities /h3 ul liMaintains standards to ensure systematic, consistent and timely filing of the following claims; Medicare/Medicare HMO and Blue Cross Blue Shield claims. /li liEnsures claims pass edits for correctness per payor requirements.



/li liEnsures unbilled claims are reviewed for correctness. /li liMeets all standards set forth in Key Performance Indicators adopted by the Facility. /li liMaintains current information on claims adjudication and payment policies on all government intermediaries. /li liFiles Secondary claims to appropriate insurers. /li liAssumes other duties and responsibilities as necessary. /li liMaintains current information on claims adjudication and payment policies on all encountered third party payers and government intermediaries. /li liMaintains current information on correct and lawful practices in billing government and private payers for Prospective Payment System. /li liMonitors accounts receivable to identify billing errors, and timely rebilling. /li liFollows-up on past due accounts with patient or payers. /li liReports status of accounts receivable as requested. /li liProvides management reports to the Business Office Manager per protocol. /li liAssists with preparation and maintenance of Facility records and reports. /li liAnswers patient and family member questions regarding financial responsibility and explains insurance requirements and refers questions to healthcare professionals when appropriate. /li liCommunicates pertinent information from the physician, support staff,



insurance companies and other significant parties to the patient. /li liReports regularly to the Business Office Manager about the status of current projects or workflow. /li liDiscuss financial obligations with patient or family member, explaining the fees and reimbursement process and responds to any patient inquiries. /li liComply with facility Standards of Behavior and complete all required education assignments within the designated timeline. /li /ul h3PHYSICAL DEMANDS /h3 ul liThe 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. /li liWhile performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus. /li liThe employee must be able to lift and/or carry over 20 pounds on a regular basis and be able to push/pull over 25 pounds on a regular basis. /li liThe employee must be able to stand and/or walk at least two hours per day. /li /ul h3WORK ENVIRONMENT /h3 ul liThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. /li /ul /p #J-18808-Ljbffr

📌 Biller/Collector Specialist (Vega del Codorno)
🏢 CHRISTUS Central Louisiana Surgical Hospital
📍 Vega del Codorno