Analyze and follow up on outstanding account balances and establish acceptable payment arrangements to ensure timely and accurate reimbursement.
- Process claims populating into Ambulatory Claims Manager (ACM), resolving invalid/rejected claims within 5 days, documenting status, and referring issues to management.
- Process hard copy claims for payment.
- Attach EOBs for secondary/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 and escalate as needed.
- Resolve “unable to bill” claims by verifying insurance information.
- Investigate reports and monitor denial trends provided by management.
- Perform other duties as assigned.
Requirements & Qualifications
- 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
Benefits & Perks
- Comprehensive benefits program for you and your family
- Professional development and support
- Generous paid time off
- Flexible positions
- Baton Rouge General Fit! program
- Employee perks and resources for work-life balance
Location
Baton Rouge, Louisiana, US
Employment Type
Not specified
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago