Ochsner Health

• Handle patient billing inquiries • Work directly with patients for customer service • Collect past due balances • Provide timely and accurate responses • Serve as a liaison between patients, providers, and departments • Record and maintain transactions • Educate debtors on payment options

• Assists patients with all billing inquiries face to face • Reviews all aspects of the patient bill(s) • Collects liability for upcoming procedure(s) and past due balances • Reviews options for benefit coverage for medical and pharmaceutical services • Secures authorizations and sets up fee arrangements • Ensures timely and accurate patient assistance to enhance experience • Serves as a liaison between patients, providers, and external departments

• Reviews and codes complex hospital services and in-patient procedures • Utilizes coding guidelines to assign ICD and CPT codes • Ensures compliance with Medicare, Medicaid, and third-party payer guidelines • Collaborates with the Clinical Documentation Improvement team • Ensures accurate DRG assignment and works closely with management to resolve problems

• Oversees all stages of the business intelligence cycle including understanding business objective, collecting business requirements and translating them into data requirements. • Designing and developing reports or dashboards (code and visualization). • Scheduling and deployment of business intelligence components in accordance with supplied standards and best practices. • Collaborates with business and technology departments to understand system data and its use. • Monitors production systems for issues and resolves issues or elevate them for resolution when necessary. • Participates in and leads classroom instruction for at least 6 unique courses offered in the Revenue Cycle Course Catalog. • Identifies and provides recommendations to leadership for identified student learning opportunities.

Role Description Are you ready to make a difference? Apply Today! - Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. - Please refer to the job description to determine whether the position you are interested in is remote or on-site. - Individuals who reside in and will work from the following areas are not eligible for remote work position: - Colorado - California - Hawaii - Illinois - Maryland - Massachusetts - Minnesota - New Jersey - New York - Vermont - Washington - Washington D.C. - Ochsner Health endeavors to make our site accessible to all users. - If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or careers@ochsner.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. - Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities. Company Description We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

Role Description This job is primarily responsible for resolving all outstanding insurance account receivables. Responsibilities include, but are not limited to: - Performing collection and billing activities related to account resolution. - Communicating with payors (Government and Commercial), clients, reimbursement vendors, and other external resources such as patients. Qualifications - Required: High School diploma or equivalent - Preferred: Associates Degree or Bachelor Degree Requirements - Required: 1-year related experience in related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking and/or customer service-related job - Preferred: Prior experience working with EPIC system - Must have computer skills and dexterity required for data entry and retrieval of required job information. - Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. - Must be proficient with Windows-style applications, keyboard, and various software packages specific to role. - Strong interpersonal skills. - Ability to multi-task. - Ability to perform effectively in a fast-paced ever-changing environment. - Ability to remain calm and professional in high pressure/stressful situations regarding patient financial and medical conversations. - Reliable transportation to travel to other facilities to fill in as needed. Job Duties - Performs account research with internal and/or external resources via phone and payor websites to determine status of the account with the expected result of obtaining payment of the account. - Verifies and/or updates insurance and demographic information for accuracy to resolve barriers in receiving payment of the account. - Follows-up with payors and checks claim status as needed throughout the payment process. - Appeal denials when needed throughout the payment process and determines when appeals should be sent for further research and/or review. - Maintains knowledge of differing payor guidelines to ensure accurate reimbursement by various resources, such as department meetings and updates on payor websites. - Identifies trends that may cause or are causing various types of issues on assigned accounts and reports to leader with recommendations for system improvements/edits. - Other related duties as required. Physical and Environmental Demands - Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly. - 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. - There may be occupational risk for exposure to hazardous medications or hazardous waste within the environment. Equal Opportunity Employer 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. Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or careers@ochsner.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

• Provides overall support to Pre-Service, ED Registration, Financial Counseling, Call Center, Billing, Collections/Follow-Up, Self-Pay, Credentialing, Denials • Ensures financial security of accounts, verifies benefits, obtaining authorizations, billing or collecting, resolving denied claims • Supports business office by assisting with reduction of bad debt • Exercises good judgment in handling payment or billing related issues • Increases patient satisfaction by representing the organization professionally • Remains knowledgeable on current laws and regulations

• Assisting patients by communicating with insurance payors to determine eligible benefits • Acquiring Pre-Certification(s) when necessary • Communicating the liability to the patient after the Pre-Certification has been obtained • Ensuring the Pre-Service process has been completed in advance of the patient’s arrival • Validating and gathering insurance and demographic information • Interacting with insurance companies to verify benefits and obtain authorizations • Performing Pre-Service collection estimation functions and communicating patient liability

Role Description This job is responsible for processing medical records and documentation, ensuring accuracy and confidentiality of patient information. It supports functions of the HIM department by effectively working with customers (providers, other departments, patients) to meet their needs and supports HIM management, but works independently with minimal supervision. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. Qualifications - Required – High school diploma or equivalent - Required – 4 years relevant experience (Education may be substituted for experience) Requirements - 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 to varying levels of individuals throughout the patient care process - Must be proficient with Windows-style applications, various software packages specific to role and keyboard - Strong interpersonal skills - Complete and thorough understanding of all documents in a medical record Job Duties - Retrieves and reviews information as needed for completion of daily tasks - Communicates appropriately and works with other departments, staff, providers, and management as necessary to complete job duties - Reviews and processes incoming requests and/or assignments - Resolves issues that arise related to specific job functions - Develops, compiles, and distributes any logs, reports, statistics, etc. as necessary - Other related duties as required Physical and Environmental Demands - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects - Normal routine involves no exposure to blood, body fluid or tissue and 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 - 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

Role Description This job is primarily responsible for resolving all outstanding insurance account receivables. Responsibilities include, but are not limited to: - Performing collection and billing activities related to account resolution. - Communicating with payors (Government and Commercial), clients, reimbursement vendors, and other external resources such as patients. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. Qualifications - Required: High School diploma or equivalent - Preferred: Associates Degree or Bachelor Degree Requirements - Required: 1 year related experience in related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking and/or customer service related job - Preferred: Prior experience working with EPIC system - Must have computer skills and dexterity required for data entry and retrieval of required job information. - Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. - Must be proficient with Windows-style applications, keyboard, and various software packages specific to role. - Strong interpersonal skills. - Ability to multi-task. - Ability to perform effectively in a fast paced ever changing environment. - Ability to remain calm and professional in high pressure/stressful situations regarding patient financial and medical conversations. - Reliable transportation to travel to other facilities to fill in as needed. Job Duties - Performs account research with internal and/or external resources via phone and payor websites to determine status of the account with the expected result of obtaining payment of the account. - Verifies and/or updates insurance and demographic information for accuracy to resolve barriers in receiving payment of the account. - Follows-up with payors and checks claim status as needed throughout the payment process. - Appeal denials when needed throughout the payment process and determines when appeals should be sent for further research and/or review. - Maintains knowledge of differing payor guidelines to ensure accurate reimbursement by various resources, such as department meetings and updates on payor websites. - Identifies trends that may cause or are causing various types of issues on assigned accounts and reports to leader with recommendations for system improvements/edits. - Other related duties as required. Physical and Environmental Demands - Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly. - Normal routine involves no exposure to blood, body fluid or tissue. - The incumbent has no occupational risk for exposure to communicable diseases. - There may be occupational risk for exposure to hazardous medications or hazardous waste within the environment. Additional Information - This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct. - The employer is an Equal Opportunity Employer. - Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. - Individuals who reside in and will work from certain areas are not eligible for remote work position. - Ochsner Health endeavors to make our site accessible to all users.