Medical Policy Specialist jobs in Louisiana

• Understand denials and appeals.
• Communicate with insurance providers and patients
• Review patient bills and correct any missing or inaccurate information
• Use a billing software to prepare and transmit claims
• Collect unpaid claims and clear up discrepancies
• Investigate and appeal claims that were denied
• Complete data entry to update spreadsheets and reports
• Work with patients to set up payment plans
• Adapt to updates and changes in billing software
• greet patients
• register patients according to established protocols
• assist patients to complete all necessary forms and documentation including medical insurance
• ensure patient information is accurate including billing information
• inform patients of medical office procedures and policy
• maintain and manage patient records
• answer incoming calls and deal with inquiries
• schedule hospital admissions, tests, scans and outside appointments for patients
• obtain external medical reports as required by medical professionals
• respond and comply to requests for information
• safeguard patient privacy and confidentiality

*

• Education, Qualifications and Experience
• At least 2 years of medical billing experience with denials, patient payments and appeals.
• high school diploma
• knowledge of medical terminology, procedures and diagnosis
• knowledge of computer and relevant software applications
• knowledge of general administrative and clerical procedures
• working knowledge of healthcare insurance preferred

Key Competencies and Skills

• communication skills - able to listen effectively and express oneself in a clear and articulate manner
• information collection and management - able to collect, organize and monitor data efficiently
• planning and organizing - able to multi-task, prioritize and schedule tasks and activities
• attention to detail - able to produce accurate and high quality work through concern for all areas involved
• customer service skills - able to develop good customer relationships with a focus on achieving customer satisfaction
• adaptability - able to adjust approach to meet changing demands and situations including dealing with diverse people
• confidentiality - able to maintain confidentiality and adhere to ethical standards

Job Type: Full-time

Pay: $9.00 - $12.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• ICD-10: 1 year (Required)
• Medical Billing: 4 years (Required)

Work Location: In person