Analyze and follow up on outstanding account balances to ensure timely and accurate reimbursement.
Process claims in Ambulatory Claims Manager (ACM), resolve invalid or rejected claims within 5 days, document status, and refer issues to management. Process hard copy claims for payment, attach EOBs for secondary and tertiary claims, ensure compliance with timely filing guidelines and fee schedule review, maintain practice responses to communications, create and respond to spreadsheets, monitor for missing responses, resolve unable-to-bill claims by verifying insurance information, and investigate reports and denial trends provided by management.
Detail-oriented with strong organizational and investigative skills. Self-motivated and proactive with a customer-first mindset. Prior experience in all phases of business office operations and insurance collections. High school diploma or GED preferred. Excellent understanding and knowledge of commercial insurance. Familiarity with HIPAA regulations related to medical records and financial data. Knowledge of safety practices relevant to billing and administrative roles.
Comprehensive benefits program for you and your family. Professional development and support. Employee perks including generous paid time off, flexible positions, and the Baton Rouge General Fit! program. Work for a nationally and locally recognized healthcare employer.
Location
Baton Rouge, Louisiana, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 months ago