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Senior Solutions Denials & Follow up Rep - Government - Full time - Remote

Senior Solutions Denials & Follow up Rep - Government - Full time - Remote

at Ochsner Health

Posted: 1-16-2025

Remote

Clerical and Administrative

Ï

$50,650/year

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About this Career

Medical Records Specialists

Skills

Customer Service, Effective Communication, Collections, Management, Prioritization, Revenue Cycle Management, First Aid, Analytical Skills, Interpersonal Communications, Occupational Safety And Health, Communicable Diseases, Time Management, Decision Making, Conflict Resolution, Registration, Call Center Experience, Medical Privacy, Billing, Organizational Skills, Operations, Writing, Detail Oriented, Emergency Medicine, Advising, Data Entry, Self-Discipline, Computer Literacy, Communicating With Patients

Job Description

We've made a lot of progress since opening the doors in 1942, but one thing has never changed
  • our commitment to serve, heal, lead, educate, and innovate.
We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job assumes responsibility for providing overall support to one of the following areas with
Revenue Cycle:
Pre-Service, ED Registration, Financial Counseling, Call Center, Billing, Collections/Follow-Up, Self-Pay, Credentialing, Denials. Ensures the financial security of accounts for Ochsner patients in various ways; assumes responsibility for working and advising patient of their financial responsibility whether it is a patients self pay, co-payment or deductible; ensures the financial security of Ochsner patient accounts by carrying out one of the following functions: verifying benefits, obtaining authorizations, billing or collecting, resolving denied claims, financial counseling, credentialing, or registering patients; and directly supports the business office by assisting with the reduction of bad debt. This job is customer service focused with demonstrated ability to gather and disseminate information through effective communication with diverse groups, either in person or over the phone; exercises good judgment in handling payment or billing related issues with the aptitude to solve problems effectively and efficiently; and assumes responsibility for increasing patient satisfaction by consistently representing Ochsner Health System professionally. Education Required
  • High School diploma or equivalent Preferred
  • Associates degree. Additional degrees, business training experience and/or certifications may be combined to meet minimum qualifications. Work Experience Required
  • 4 years experience in hospital, clinic, business services/revenue cycle, front line registration, financial counseling, and/or direct experience in a healthcare environment Knowledge Skills and Abilities (KSAs) Must have computer skills and dexterity required for data entry and retrieval of information.
Effective verbal and written communication skills and the ability to present information clearly and professionally. Must be proficient with Windows-style applications, various software packages specific to role and keyboard. Strong interpersonal skills. Customer service focused with demonstrated ability to gather and disseminate information through effective communication with a diverse range of people, either in person or over the phone. Exhibits sound judgment in handling/escalating difficult situations and good organizational, time management, interpersonal, and conflict resolution skills. Excellent decision making skills; good analytical skills with a strong attention to detail are necessary. Self-directed with excellent prioritization and organization skills including the ability to handle several tasks and interruptions in a positive manner. Job Duties
  • Performs daily operations activities such as: ensures accurate and timely collection of all data necessary for the processing of charges/claims and, ultimately, the receipt and processing of payments owed to Ochsner Health System.
  • Provides recommendations for system improvements in order to ensure accuracy and consistency of operational activities
  • Upholds and supports Ochsner Health System service excellence standards by providing excellent customer service and effectively communicating with patients throughout their medical experience.
  • Performs other duties as assigned by a member of the Management Teams Other related duties as required.
The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. Complies with the Ochsner Health System Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. Ochsner is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Sedentary Work
  • Exerting up to 10 pounds of force occasionally (
Occasionally:
activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (
Frequently:
activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent has no occupational risk for exposure to communicable diseases. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Maryland, New York, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or [email protected]. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. We are proud to be an Equal Employment Opportunity and Affirmative Action employer. We are committed to the principles of equal employment opportunity and providing a workplace that is free from discrimination based on race, color, creed, religion, pregnancy status, pregnancy-related conditions, national origin, ancestry, mental or physical disability, medical condition, age, veteran status, military status, citizenship status, marital status, familial status, sexual orientation, gender, gender identity or expression, genetic information, political affiliation, unemployment status, or any other characteristic protected under applicable federal, state or local law. These protections extend to applicants and all employment related decisions. View the EEO is the Law poster and its supplement, as well as the pay transparency policy for more information. Affirmative Action Policy Statement Ochsner Health is the leading not-for-profit healthcare provider in the Gulf South, delivering expert care at its 46 hospitals and more than 370 health and urgent care centers. For 12 consecutive years, U.S. News & World Report has recognized Ochsner as the No. 1 hospital in Louisiana. Additionally, Ochsner Children's has been recognized as the No. 1 hospital for kids in Louisiana for three consecutive years. Ochsner inspires healthier lives and stronger communities through a combination of standard-setting expertise, quality and connection not found anywhere else in the region. In 2023, Ochsner Health cared for more than 1.5 million people from every state in the nation and 65 countries. Ochsner's workforce includes more than 38,000 dedicated team members and over 4,700 employed and affiliated physicians. To learn more about how Ochsner empowers people to get well and stay well, visit https://www.ochsner.org/. Ochsner Health is proud to be an Employer of Choice. Ranked one of Newsweek's list of America's Greatest Workplaces for Diversity of 2024 Becker's Healthcare listed Ochsner Health as 150 Top Places to Work in Healthcare Awarded Culture Awards for Purpose and Values and Healthcare Industry by Top Workplace Ranked as a 2023 Top Workplace in the USA! The Top Workplaces USA award is based entirely on feedback from an employee engagement survey completed by the employees of participating workplaces. Awarded Top Work Places 2023 for six consecutive years by The Times-Picayune Earned 2022-2023 Great Place to Work Certification™ Ochsner Health named to Newsweek's America's Greatest Workplaces for Parents and Families 2023 Opportunities listed here represent open positions at Ochsner Health and Ochsner Health managed entities.

Other Job Posting Details

Salary

Minimum

Maximum

$34,000/yr

$78,870/yr

MINIMUM EDUCATION LEVEL

High school or GED

MINIMUM YEARS EXPERIENCE

4