Billing Specialist

• Coordinates and facilitates patient billing and collection activities
• Processes payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications
• Researches payments, denials, and accounts
• Builds strong working relationships with assigned business units

PFS Representative, CBO Billing, Follow-up, Denials Management

• Contact third party payers to verify eligibility, obtain claim status and take steps to properly resolve CMS 1500/837P claims
• Utilize various internal and online follow up tools provided by Westerkamp Group, LLC and our clients to resolve accounts
• Critically analyze account balances, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), denial reason codes (CARC), and remittance advice remark codes (RARC) on CMS-1500 /837P claim forms to determine the root cause of denials
• Maintain workqueues and track trends that can be escalated to management
• Clearly notate accounts per Westerkamp Group or client specific standards
• Review paper correspondence and take necessary action to resolve insurance payer requests
• Analyze and submit cash posting payment and contractual adjustment errors
• Adhere to strict compliance guidelines related to HIPAA

Billing Insurance Follow Up Analyst

• Responsible for monitoring all A/R staff activities to ensure accurate, complete and timely filing and follow-up
• Responsible for working with the payer to resolve repetitive issues regarding denials or contract compliance
• Responsible for determining appropriate response or corrective action to denials, including assistance needed from other departments or staff
• Analyzing data collected and identifying opportunities to reduce denials and improve the revenue cycle
• Responsible for reporting trends to supervisor
• Responsible for overseeing training of all new employees in assigned area

PFS Team Lead – Billing

• Monitor the eBilling HUB and e-billing vendor sites to ensure client setups are completed accurately and invoice rejections are resolved in a timely manner.
• Collaborate with the Client Account Specialists, Assistants, and Matter Supervising Partners to resolve discrepancies related to all aspects of electronic billing.
• Prepare standard and ad hoc reports utilizing various applications and reporting tools.
• Research and respond to client inquiries.
• Modify LEDES, XML files when necessary.
• Work closely with client e-billing contacts to ensure accurate and timely set-ups.
• Provide recommendations and feedback to e-billing management to improve e-billing and billing processes.
• Assist with special projects as directed by the e-Billing Manager, and other duties as specified.
• Review all e-billing requirements and client billing guidelines.
• Communicate with all levels of the business and the firm’s clients regarding e-billing.
• Work closely with the International team as needed on e-billing issues.
• Support Collections activities regarding e-billing issues.
• Complete special assignments given by the e-Billing Manager.
• Demonstrate knowledge and adherence to basic firm policies, procedures, and processes.

Electronic Billing Analyst

• Communicate effectively to resolve discrepancies
• Process and maintain membership data
• Perform billing and accounts receivable activities
• Create and distribute membership materials

Billing Specialist jobs in Louisiana

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PFS Representative, CBO Billing, Follow-up, Denials Management

Billing Insurance Follow Up Analyst

PFS Team Lead – Billing

Electronic Billing Analyst

Enrollment and Billing Representative