Analyze and follow up on outstanding account balances to ensure timely and accurate reimbursement.
Responsibilities include:
- Process claims in Ambulatory Claims Manager (ACM), resolving invalid or rejected claims within 5 days and documenting status
- 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 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
Qualifications include:
- 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
Benefits and perks mentioned include:
- Comprehensive benefits program for employees and their families
- Professional development and support
- Generous paid time off
- Flexible positions
- Baton Rouge General Fit! program
- Work for a nationally and locally recognized healthcare employer
Location
Baton Rouge, Louisiana, US
Employment Type
Not specified
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago
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