15 healthcare-it jobs found in Lake Charles, LA

DESCRIPTION OF POSITION: The claims escalation analyst monitors liability claims from start to finish, verifying and updating information on submitted claims, reviewing the policy to determine which charges are eligible for reimbursement, reconciling a claims adjuster's estimates, negotiating payment to all parties and following up to ensure that payments are made. RESPONSIBILITIES AND DUTIES: Understands assigned payers allowable calculations in order to preview an account to determine if properly paid and identify when errors are made in payments. Accurately posts transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, ded & coins assignments. Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted and are appropriate. Works with other departments to resolve any outstanding issues delaying claims processing. Communicates effectively with assigned payer and makes appropriate decisions...

Claims Escalation Analyst position requirements: 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 the assigned payer and makes appropriate decisions to escalate and push claims with carriers, companies and other departments to resolve any outstanding issues delaying claims processing. Evaluates transactions posted on an account to ensure all payments and adjustments are posted and are appropriate. Accurately post transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, ded & coins assignments. Understands assigned payers allowable calculations in order to preview an account to determine if properly paid and identify when errors are made in payments.

HIM Medical Records Clerk DESCRIPTION OF POSITION: Answers phones, takes messages and directs calls as needed. Receives and processes faxed requests from physicians and other health care entities. Performs chart analysis on each Inpatient, Observation and Same Day Surgery record. RESPONSIBILITIES AND DUTIES: Answers phones quickly and courteously. Directs callers to the appropriate personnel. Retrieves faxes and processes faxes from physicians’ offices and other health care entities, ensuring that all faxes have been processed by the end of the day. Performs chart analysis on all Inpatient/Outpatient/Same Day Surgery records, if applicable, staying within 3 days of discharge or visit date. Indexes all records checking for accuracy and completeness. Maintains patient, departmental and employee confidentiality at all times. Assist with other responsibilities and adjust schedule to meet departmental needs.   EDUCATION AND WORK EXPERIENCE High school diploma or GED required. One...

Maintains responsibility for the Peer Review/ Case Review function. Participates in data collection for submission to national databases, as well as studies, research, or projects requiring data collection to evaluate practice patterns, interventions, outcomes, and TJC compliance. Assists with preparing case summaries, timelines, initial RCA for complicated cases. Creates aggregate, trended reports for the medical staff and works with the physician profiles. Assists with planning and revising performance improvement projects based on best practices and data analysis.

DESCRIPTION OF POSITION/RESPONSIBILITIES AND DUTIES: Assumes responsibility for the review of clinical documentation in patient records, provides timely reports to unit managers and promotes accurate and complete documentation & verification of billable supplies.  EDUCATION AND WORK EXPERIENCE Degree in Nursing; preferably BSN. Associates accepted. Demonstrated expertise and knowledge typically gained through work in perioperative services required. Current licensure in Louisiana as a registered nurse or multi state compact licenses as a registered nurse. Strong quantitative and analytical skills. Ability to understand medical records, hospital bills and the charge master. Must be able to apply good judgment when making decisions and have advanced prioritizing skills.   Physical Demands/Work Environment Requires prolonged periods of sitting with a light amount of lifting of physical records/documents weighing up to 10 pounds.  Almost 100% of time spent inside the...

DESCRIPTION OF POSITION/RESPONSIBILITIES AND DUTIES: Under the direction of the Director of Revenue Management, the primary function is to assist the facility in maximizing patient revenue through monitoring of the scheduling, billing, and charging activities.  Includes resolving issues related to the facility financial systems that directly affect revenue generation.  Also serves as the System Analyst and CDM Coordinator for the Moss Memorial Campus.  EDUCATION AND WORK EXPERIENCE Bachelor's Degree in Business Administration, or Healthcare related field preferred.  Consideration may be given for the right combination of experience and education. Five years of System Analyst or Healthcare Revenue Cycle experience. Working knowledge of computer operations and electronic interfaces. Strong organization skills working effectively in a multi-task environment, prioritizing tasks properly and completing tasks/projects in a timely manner.  Demonstrated proficiency in written and verbal...

The Patient Access Representative position requirements: Greets all customers in a professional and friendly manner. Employee’s body language and tone are welcoming and exudes care and compassion. Quickly ascertain the reason for the visit and ensure the patient is in the correct area. Ensure patients receive a timely registration and typically does not exceed 15 minutes as to keep the patient flow moving thru the area, this also ensures that the clinical schedules are not affected by registration processes. Collects updated demographic information and accurately codes information on all patients, including but not limited to: contact numbers, emergency contact, mailing address, Living Will information, email address, marital status, Patient Type, Point of Origin, Service, Arrival By, OP Location, Visit Status, Insurance Payer, Insurance policy and group number, insurance subscriber, Physician, and occurrence Codes. Employee completes patient estimates using EPRO. Employee is...

The Practice Manager demonstrates the ability to achieve individual quality performance in daily duties, is team oriented and seeks to produce timely and high quality results. Reports to the MMG Practice Director. This position is accountable for MMG Clinic, a multiple physician and mid level staffed clinic. Responsibilities include, but are not limited to, is responsible for staffing, education, training, coaching and providing direction in order to establish and maintain a high level of quality patient care. The Practice Manager is responsible for the operational and financial status of all this practices.     QUALIFICATIONS: B.S. preferred or 5 years experience in clinic management. Extensive understanding of physician practice operations.   EDUCATION: Bachelor degree in business, healthcare management/administration, or related healthcare field preferred. EXPERIENCE: Five years experience in a multi-specialty medical practice setting or similar ambulatory or business...

The Patient Access Representative position requirements: Greets all customers in a professional and friendly manner. Employee’s body language and tone are welcoming and exudes care and compassion. Quickly ascertain the reason for the visit and ensure the patient is in the correct area. Ensure patients receive a timely registration and typically does not exceed 15 minutes as to keep the patient flow moving thru the area, this also ensures that the clinical schedules are not affected by registration processes. Collects updated demographic information and accurately codes information on all patients, including but not limited to: contact numbers, emergency contact, mailing address, Living Will information, email address, marital status, Patient Type, Point of Origin, Service, Arrival By, OP Location, Visit Status, Insurance Payer, Insurance policy and group number, insurance subscriber, Physician, and occurrence Codes. Employee completes patient estimates using EPRO. Employee is...

The Patient Access Representative position requirements: Greets all customers in a professional and friendly manner. Employee’s body language and tone are welcoming and exudes care and compassion. Quickly ascertain the reason for the visit and ensure the patient is in the correct area. Ensure patients receive a timely registration and typically does not exceed 15 minutes as to keep the patient flow moving thru the area, this also ensures that the clinical schedules are not affected by registration processes. Collects updated demographic information and accurately codes information on all patients, including but not limited to: contact numbers, emergency contact, mailing address, Living Will information, email address, marital status, Patient Type, Point of Origin, Service, Arrival By, OP Location, Visit Status, Insurance Payer, Insurance policy and group number, insurance subscriber, Physician, and occurrence Codes. Employee completes patient estimates using EPRO. Employee is...

The Patient Access Representative position requirements: Greets all customers in a professional and friendly manner. Employee’s body language and tone are welcoming and exudes care and compassion. Quickly ascertain the reason for the visit and ensure the patient is in the correct area. Ensure patients receive a timely registration and typically does not exceed 15 minutes as to keep the patient flow moving thru the area, this also ensures that the clinical schedules are not affected by registration processes. Collects updated demographic information and accurately codes information on all patients, including but not limited to: contact numbers, emergency contact, mailing address, Living Will information, email address, marital status, Patient Type, Point of Origin, Service, Arrival By, OP Location, Visit Status, Insurance Payer, Insurance policy and group number, insurance subscriber, Physician, and occurrence Codes. Employee completes patient estimates using EPRO. Employee is...

The Patient Access Representative position requirements: Greets all customers in a professional and friendly manner. Employee’s body language and tone are welcoming and exudes care and compassion. Quickly ascertain the reason for the visit and ensure the patient is in the correct area. Ensure patients receive a timely registration and typically does not exceed 15 minutes as to keep the patient flow moving thru the area, this also ensures that the clinical schedules are not affected by registration processes. Collects updated demographic information and accurately codes information on all patients, including but not limited to: contact numbers, emergency contact, mailing address, Living Will information, email address, marital status, Patient Type, Point of Origin, Service, Arrival By, OP Location, Visit Status, Insurance Payer, Insurance policy and group number, insurance subscriber, Physician, and occurrence Codes. Employee completes patient estimates using EPRO. Employee is...

Patient Access Representative DESCRIPTION OF POSITION/RESPONSIBILITIES AND DUTIES: Greets all customers in a professional and friendly manner. Employee’s body language and tone are welcoming and exudes care and compassion. Quickly ascertain the reason for the visit and ensure the patient is in the correct area. Ensure patients receive a timely registration and typically does not exceed 15 minutes as to keep the patient flow moving thru the area, this also ensures that the clinical schedules are not affected by registration processes. Collects updated demographic information and accurately codes information on all patients, including but not limited to: contact numbers, emergency contact, mailing address, Living Will information, email address, marital status, Patient Type, Point of Origin, Service, Arrival By, OP Location, Visit Status, Insurance Payer, Insurance policy and group number, insurance subscriber, Physician, and occurrence Codes. Employee completes patient estimates...

The Patient Access Representative position requirements: Greets all customers in a professional and friendly manner. Employee’s body language and tone are welcoming and exudes care and compassion. Quickly ascertain the reason for the visit and ensure the patient is in the correct area. Ensure patients receive a timely registration and typically does not exceed 15 minutes as to keep the patient flow moving thru the area, this also ensures that the clinical schedules are not affected by registration processes. Collects updated demographic information and accurately codes information on all patients, including but not limited to: contact numbers, emergency contact, mailing address, Living Will information, email address, marital status, Patient Type, Point of Origin, Service, Arrival By, OP Location, Visit Status, Insurance Payer, Insurance policy and group number, insurance subscriber, Physician, and occurrence Codes. Employee completes patient estimates using EPRO. Employee is...

The Patient Access Representative position requirements: Greets all customers in a professional and friendly manner. Employee’s body language and tone are welcoming and exudes care and compassion. Quickly ascertain the reason for the visit and ensure the patient is in the correct area. Ensure patients receive a timely registration and typically does not exceed 15 minutes as to keep the patient flow moving thru the area, this also ensures that the clinical schedules are not affected by registration processes. Collects updated demographic information and accurately codes information on all patients, including but not limited to: contact numbers, emergency contact, mailing address, Living Will information, email address, marital status, Patient Type, Point of Origin, Service, Arrival By, OP Location, Visit Status, Insurance Payer, Insurance policy and group number, insurance subscriber, Physician, and occurrence Codes. Employee completes patient estimates using EPRO. Employee is...