Sr Patient Accounts Rep - Patient Accounting - Full-Time

The Sr. Patient Accounts Rep reviews assigned A/R to analyze and resolve a variety of complex billing issues. Works closely with doctors and their staff, governmental agencies, managed care companies, third-party insurance companies, and various departments/hospital clinics to resolve billing and reimbursement issues. Needs to understand the Health Information System data flow to reconcile system adjustments applied to patient bill. Responsible for understanding all aspects of Medicaid/Medicare billing to file claims with appropriate revenue, CPT4, and HCPCS codes. Takes appropriate action steps to resolve patient, coworker, management requests and revise corrected and adjusted claims. Responsible for reviewing and making necessary contractual adjustments to patient accounts according to Medicaid/Medicare payment methodology. Responsible for working assigned A/R in order to bring account closer to completion. Performs other duties as assigned by department management according to policies and procedures and the mission of Woman's Hospital.

Requirements:

• High school diploma or equivalent.
• Two years hospital or healthcare business office experience with insurance, pre-certification, billing and collections.
• Experience with Medicaid and Medicare programs in Louisiana.
• Epic experience preferred.

Responsibilities:

• Work assigned A/R timely utilizing the Epic work queues.
• Respond to and resolve all legitimate patient and visitor concerns and/or problems as soon as possible after notification.
• Review claims for irregularities, accuracy and completeness notifying manager of any corrections needed to Epic system.
• Utilizes the Epic work queues, reviews denials assigned and takes necessary action in a timely manner by notifying manager of any negative trends.
• Refile any claims as needed on the electronic vendor system to receive optimal Medicaid/Medicare and/or commercial reimbursement.
• Any other duties as assigned by Woman's Hospital.

Schedule:

Full-Time; Monday - Friday

7:30 AM - 4:00 PM

Pay Range:

Hourly/Non-Exempt

$15.00 - $21.00

A Work Experience with Purpose

Woman's is one of the largest specialty hospitals in the country dedicated to the care of women and infants. Nationally recognized for exceptional patient care, innovative programs, and a supportive work environment, we consistently exceed state and national benchmarks for patient satisfaction-a reflection of our commitment to those we serve.

We're home to Louisiana's largest delivery service and perform thousands of procedures annually, including over 8,500 surgeries and 35,000 breast procedures. Woman's was the first hospital in the Baton Rouge area to earn Magnet designation for nursing excellence, and we're honored to be named one of Modern Healthcare's Best Places to Work in Healthcare year after year.

We are proud of the care our staff provides to patients-and to one another-every day.

For more information or to contact our recruiting team, email us at hrjobs@womans.org.

Woman's Hospital is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law.