Biller/Collections Specialist
6 days ago
Baton Rouge
Job Description The Carpenter Health Network – Restorative’s Post Acute Care Division is seeking a Full-Time Biller/Collection Specialist! We offer you: Excellent Pay, Complete Benefits Package including: Health, Dental, Vision & Life Insurance, Paid Time Off (PTO), 401-K, and Remarkable Career Advancement Opportunities. Essential duties and responsibilities include: • Prepare, review, and submit claims accurately and timely., • Monitor claim status through payer portals, clearinghouses, and internal RCM systems., • Investigate, resolve claim rejections, denials, underpayments and payment variances., • Submit corrected claims, appeals, reconsiderations, as necessary., • Post payments/collections to accounts., • Analyze remittance advices and explanation of benefits to identify reimbursement discrepancies., • Perform account receivable follow-up activities to secure payment on outstanding accounts, including patient statements., • Review accounts for appropriate adjustments, write-offs, and contractual allowances., • Document all account activity thoroughly within the billing/RCM system., • Maintain compliance with Medicare, Medicaid, and commercial payer billing regulations. Requirements: • Minimum 2-year billing and collection experience, required., • Strong understanding of Institutional, Professional, and OPPS reimbursement methodologies., • Demonstrated knowledge of Medicare, Medicaid, and other payor guidelines and criteria for reimbursement., • Familiarity of UB-04 and CMS-1500 claim requirements., • Ability to interpret remittance advises, contracts, and payer correspondence., • Proficiency with clearinghouses and payor portals., • Strong organizational skills with the ability to manage high account AR volumes., • Excellent communication and customer service skills when responding to questions and other inquiries from internal and external customers., • Strong computer and software skills. Exceptional Care. Exceptional People. Only candidates with appropriate experience will be considered. All others need not apply. All inquiries will be kept confidential EOE