Franciscan Missionaries of Our Lady Health System is a large nonprofit Catholic healthcare organization serving communities across Louisiana and the greater metropolitan area of Mississippi. Its care network includes hospitals, clinics, and physicians providing a broad range of health services, with work centered on patient care, community health, and education. Headquartered in Baton Rouge, Louisiana, the organization brings together a sizable healthcare workforce focused on caring for patients and strengthening health outcomes across the region.
Senior Hospital Patient Account Representative
Manage hospital billing, collections and reimbursement for Franciscan Missionaries of Our Lady Health System. Resolve complex patient and insurer account issues and help improve revenue cycle processes.
Description
- Handle billing, collections, payment processing and customer service in the Business Office.
- Review and update patient accounts in EPIC.
- Coordinate with patients, colleagues, external agencies, managed care companies, Payor Relations and vendors.
- Resolve account, payment, reimbursement, contract and credit balance issues.
- Investigate root causes, spot trends and escalate issues to support process improvements.
- Stay current on regulations, processes and policies through training and daily practice.
- Meet production and quality targets for accounts receivable, claim volumes and overdue accounts.
- Respond promptly and professionally to requests from customers, colleagues and managers.
- Represent the department in internal and external meetings.
- Serve as a subject matter expert and train or shadow new team members.
- Identify system and process improvements, then update workflows.
- Lead special projects and updates.
Requirements
- Eight years of experience in revenue cycle or hospital business office programs, such as customer service, billing or follow-up, or equivalent industry experience.
- A related certification in billing, medical office administration, coding or accounting may replace one year of experience.
- A bachelor’s degree may replace four years of experience; an associate’s degree may replace two years.
- High school diploma or equivalent.
- Knowledge of ICD-9/10, CPT and HCPCS coding.
- Critical thinking and problem-solving skills to resolve accounts.
- Understanding of managed care explanations of benefits and applicable regulations.
- Ability to work cooperatively, contribute to a team and follow FMOLHS policies, procedures and core values.
- Communication, interpersonal and collaboration skills.