Biller/Collections Specialist

🔥 0 minutes ago

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

📞 Collections

🚫👨‍🎓 No degree required

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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The Carpenter Health Network

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2002

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance • Palliative Care

The Carpenter Health Network is a comprehensive healthcare network providing a range of inpatient and in-home care solutions, including hospice, palliative care, and rehabilitation services. With a commitment to comfort and dignity, they serve communities across multiple states, offering specialized support for patients with terminal illnesses and their families. Their services include skilled nursing, therapy, bereavement support, and various home health care options, ensuring tailored care to meet individual patient needs.

📋 Description

• Prepare, review, and submit claims accurately and timely • Monitor claim status through payer portals, clearinghouses, and internal RCM systems • Investigate and resolve claim rejections, denials, underpayments, and payment variances • Submit corrected claims, appeals, and reconsiderations as necessary • Post payments and collections to accounts • Analyze remittance advices and explanations of benefits to identify reimbursement discrepancies • Perform accounts receivable follow-up activities to secure payment on outstanding accounts, including patient statements • Review accounts for appropriate adjustments, write-offs, and contractual allowances • Document all account activity thoroughly within the billing/RCM system • Maintain compliance with Medicare, Medicaid, and commercial payer billing regulations

🎯 Requirements

• Minimum 2-year hospital billing and collection experience, required • Strong understanding of Institutional reimbursement methodologies • Demonstrated knowledge of Medicare, Medicaid, and other payor guidelines and criteria for reimbursement • Experienced in UB-04 requirements • Ability to interpret remittance advises, contracts, and payer correspondence • Proficiency with clearinghouses and payor portals • Strong organizational skills with the ability to manage high account AR volumes • Excellent communication and customer service skills when responding to questions and other inquiries from internal and external customers • Strong computer and software skills • Only candidates with appropriate experience will be considered

🏖️ Benefits

• Excellent Pay • Complete Benefits Package • Health Insurance • Dental Insurance • Vision Insurance • Life Insurance • Paid Time Off (PTO) • 401-K • Remarkable Career Advancement Opportunities • Remote work