Accurately evaluates each account in order to determine what is needed, what is left outstanding and what steps are necessary to resolve the account quickly
Communicates effectively with assigned payer, other departments and leadership to identify trends, help find solutions and implement changes that will positively effect reimbursement
Coordinates Software in order to Run Reports and provide accurate feedback regarding Denials and Underpayments to Leadership
Understands payer contracts and how to analyze them in order to preview an account to determine if properly paid and identify when errors are made in payments
Accurately identifies and evaluates denials and underpayments in order to determine reason and investigates the issue to determine the best course of action to have payer pay at the maximum reimbursement allowed per our contract
Able to format an effective appeal letter where appropriate verbiage is used to reference the contract violation any applicable references and is clear to the reader as to what is expected
Minimum Qualifications:
Minimum 5 years medical collection experience.
ICD-10 and CPT coding knowledge a must; Basic computer skills; Adequate keyboarding skills (40 words per minute typing rate).
Ability to read, write and speak intelligible English; Ability to communicate with patients, family, peers and medical personnel.
Requires emotional stability and resilience; Exhibits organizational and leadership ability; Able to understand and relate to specific ideas generally, several at a time, and remember multiple tasks given to self and others over long periods of time.
Lake Charles Memorial Health System is southwest Louisiana's largest not-for-profit, community healthcare system. Memorial Health System is locally owned and operated by a Board of Trustees from the community it serves.
With personalized care for every stage of life, Lake Charles Memorial Health System makes receiving excellent healthcare close to home a reality. Nestled on I-10, two hours from Houston and three hours from New Orleans, Lake Charles Memorial opened its doors in 1952 as a small 100-bed facility.
Today, one hospital has grown into a full-service, comprehensive health system spanning a five-parish area across southwest Louisiana. With a 417-bed capacity over three campuses, a 40-bed Level III Trauma Center, and over 300 physician specialists on its medical staff, Lake Charles Memorial responds to the most immediate and primary medical needs of all people in southwest Louisiana.
As a cornerstone of the community, Memorial is the second largest employer in the region, offering a place on our team for over 2,500 employees to provide for their families and reach their career goals.
Recognized as a 2023 Great Community Hospital by Becker’s Healthcare and by Care Chex as a 2022 Top 10% in the Nation for Heart Attack Treatment, Memorial’s commitment to quality and investment in the latest medical technology, are a few reasons patients and employees choose Memorial as their healthcare home.
