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Billing and Collections Specialist

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Description:

St. James Parish Hospital is now hiring a Billing and Collections Specialist. A high school diploma and at least one year of experience is required.

The Billing and Collections Specialist contributes to the financial viability of the organization by assuring that accounts have been properly billed and reimbursed. Responsibilities include contacting the appropriate insurance company to secure and expedite payments through the follow-up and appeals resolution processes and acting as a functional leader or reference source.

This position requires discretion and good judgement in decision-making and representation of the hospital. Work situations are varied and require extensive insurance billing, follow-up and appeal knowledge and strong customer service skills. This position provides the link in communication between hospital and the patient, insurance companies/third party payers and the provider of service or departmental staff. The insurance follow-up specialist performs these functions at a complex level of implementation, analysis and resolution.

Duties:

  • Reviews and evaluates outstanding and/or denied accounts, expediting resolution and assuring a current status
  • Contacts insurance company/third party to collect outstanding payments
  • Researches unpaid/denied claims through phone contact and/or payer websites to determine if claim needs to be rebilled or if in process
  • Reschedules follow-up activity if confirmation of payment is not obtained
  • Researches and appeals denied claims from third party payer, determining steps that need to be taken for the purpose of securing payment, including but not limited to interacting with department personnel and third party payers in the denial process
  • Handles situations that require research or adaptation of response in order to solve a problem account
  • Responds to requests for information, supporting documentation and other activities required to expedite and receive payment on claim
  • Contacts insurance company/third parties, patients, physicians and/or departmental staff to obtain necessary or missing information
  • Escalates any issues or concerns regarding individual insurance companies, including problem accounts when appropriate intervention is required
  • Demonstrates and maintains knowledge of payors’ billing and reimbursement policies and procedures and complies with such regulations

Class:

Full-Time

Requirements:

One year (or more) directly related experience in a health-care setting
NAHAM or AAHAM Certification (preferred)
Computer and Typing Skills
Excellent Customer Service Skills
Drug Test
Background Check

Education Required:

High School Diploma (or equivalent)


Apply Online

You will be directed to St. James Parish Hospital’s Workforce Management System to complete your application. Click the appropriate link below.

External Applicants

Click Here to select the relevant job opening, create a new account and apply online.

Internal Applicants:

Click Here to log in to UKG, click the My Career icon, then click Apply for Job

If you need further information, please contact us at HR@sjph.org

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