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Senior Pre-Service Rep - Patient Estimates (Open)

Company: Ochsner Clinic Foundation
Location: New Orleans
Posted on: March 17, 2023

Job Description:

This job assumes responsibility for providing overall support to one of the following areas: Pre-Service, ED Registration, Financial Counseling, Call Center, Billing, Collections/Follow-Up, Self-Pay, Credentialing, Denials. Ensures the financial security of accounts for the organization's 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 company 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 the organization professionally.EducationRequired -High School diploma or equivalentPreferred -Associates degree. Additional degrees, business training experience and/or certifications may be combined to meet minimum qualifications.Work ExperienceRequired -4 yearsdirect experience in hospital, clinic, business services/revenue cycle, front line registration, financial counseling, and/or direct experience in a healthcare environmentKnowledge 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,and conflict resolution skills.
  • Excellent decision making skills; good analytical skills with a strong attention to detail.
  • 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 the company.
    • Provides recommendations for system improvements in order to ensure accuracy and consistency of operational activities.
    • Upholds and supports service excellence standards by providing excellent customer service and effectively communicating with patients throughout their medical experience.
    • 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.This employer maintains and complies with its 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.The employer 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 DemandsThe 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.Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

Keywords: Ochsner Clinic Foundation, New Orleans , Senior Pre-Service Rep - Patient Estimates (Open), Sales , New Orleans, Louisiana

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