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Denials & Follow-up Rep- Government- Benson Tower jobs in United States
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Ochsner Health · 2 days ago

Denials & Follow-up Rep- Government- Benson Tower

Ochsner Health is committed to serving and innovating in healthcare since 1942. The Denials & Follow-up Rep is primarily responsible for resolving outstanding insurance account receivables and performing collection and billing activities while communicating with payors and clients.
Health CareHospitalInformation TechnologymHealth

Responsibilities

Performs account research with internal and/or external resources via phone and payor websites to determine status of the account with the expected result of obtaining payment of the account
Verifies and/or updates insurance and demographic information for accuracy to resolve barriers in receiving payment of the account
Follows-up with payors and checks claim status as needed throughout the payment process
Appeal denials when needed throughout the payment process and determines when appeals should be sent for further research and/or review
Maintains knowledge of differing payor guidelines to ensure accurate reimbursement by various resources, such as department meetings and updates on payor websites
Identifies trends that may cause or are causing various types of issues on assigned accounts and reports to leader with recommendations for system improvements/edits
Other related duties as required

Qualification

EPIC SystemInsurance Account ResolutionData EntryWindows ApplicationsMulti-taskingStress ManagementVerbal CommunicationWritten CommunicationInterpersonal Skills

Required

High School diploma or equivalent
1 year related experience in related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking and/or customer service related job
Must have computer skills and dexterity required for data entry and retrieval of required job information
Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process
Must be proficient with Windows-style applications, keyboard, and various software packages specific to role
Strong interpersonal skills
Ability to multi-task
Ability to perform effectively in a fast paced ever changing environment
Ability to remain calm and professional in high pressure/stressful situations regarding patient financial and medical conversations
Reliable transportation to travel to other facilities to fill in as needed

Preferred

Associates Degree Or Bachelor Degree
Prior Working Use Of EPIC System

Company

Ochsner Health

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Ochsner Health is the leading nonprofit healthcare provider in Louisiana, Mississippi and across the Gulf South, delivering expert care at its 47 hospitals and more than 370 health and urgent care centers.

Funding

Current Stage
Late Stage
Total Funding
$1.6M
Key Investors
Parkinson's Foundation
2023-07-25Grant
2018-10-04Grant· $1.6M

Leadership Team

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Beth Walker
CEO
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Kim Ellender
Chief Executive Officer - St. Bernard Parish Hospital
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Company data provided by crunchbase