Senior Customer Experience Representative – Delivering Exceptional Healthcare Experiences at blithequark

Are you passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others? Do you thrive in a fast-paced environment where no two days are ever the same? If so, we invite you to join our dynamic team at blithequark as a Senior Customer Experience Representative.

Your Everyday at blithequark

As a Senior Customer Experience Representative, you will play a vital role in ensuring that all claims are processed and billed accurately and in a timely manner. You will also serve as a mentor and resource to fellow billing staff, providing guidance and support to help them excel in their roles. In addition, you will be responsible for completing or assisting with special projects as needed. Your key responsibilities will include:

• Maintaining responsibility of the timely submission of all professional claims assigned
• Working daily electronic billing file and submitting insurance claims to third-party payers; reviewing daily edit reports from the professional billing system and making necessary corrections to allow electronic submission
• Reviewing error reports from electronic payers; identifying errors and making appropriate corrections to ensure accurate claim submission
• Monitoring claim rejections for trends and issues and reporting findings to supervisor
• Preparing and submitting manual insurance claims to third-party payers who do not accept electronic claims or who require special handling
• Coordinating medical record requests as needed
• Documenting billing activity on the patient account; ensuring compliance with all state and federal billing regulations and reporting any suspected compliance issues to the Billing Manager and/or Supervisor
• Working with supervision, management, and the patient accounting staff to improve processes, increase accuracy, create efficiencies, and achieve the overall goals of the department
• Observing best practice processes in billing, follow-up, and customer service activities
• Participating in staff training that aligns with recognized improvement opportunities and increase understanding of Medicare/Medicaid requirements as well as general billing and follow-up processes
• Acting in accordance with blithequark's mission and values, while serving as a role model for ethical behavior
• Adhering to federal and state regulations related to the protection of patient information (e.g., the Health Insurance Portability and Accountability Act (HIPAA) as well as facility-specific guidelines)

The Must-Haves

To be successful in this role, you will need to possess the following qualifications:

• EDUCATION/EXPERIENCE QUALIFICATIONS:

+ Required: High School Diploma/GED or equivalent OR 2 years of work experience + Preferred: 3 years of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing, or denial management

• LICENSES AND CERTIFICATIONS:

+ Certification in billing and/or coding

• KNOWLEDGE, SKILLS, AND ABILITIES:

+ Ability to pass basic computer skills test and system level training + Working knowledge of system reports and the ability to analyze system information to determine the impact of possible changes + Demonstrates knowledge of: - Hospital and professional billing processes and reimbursement - Third-party contracting - Insurance protocols, delay tactics, systems, and workflows - ERISA guidelines for denials and appeals - Regulations related to denials and appeals + Ability to take initiative by identifying problems, conceptualizing resolutions, and implementing change + Possesses efficient time-management skills and proven ability to multitask under tight deadlines + Demonstrates excellent customer service skills + Effective writing and communication skills + Strong comfort level with computer systems

Work Shift

This role is a day shift position, working Monday through Friday, with occasional evening or weekend work as needed.

Our Culture at blithequark

At blithequark, we believe that our people are the heart of our organization. We are a community that values authenticity, originality, equity, inclusion, and a little "come on in" attitude. We celebrate our differences and strive to create a workplace where everyone feels welcome and valued. Our mission is to bring the best possible care to every person and parish in Louisiana and beyond, and we are committed to making a positive impact in the lives of our patients and their families.

Your Extras

As a Senior Customer Experience Representative at blithequark, you will have the opportunity to:

• Deliver healthcare with heart
• Give people a reason to smile
• Put a little love in your work
• Be honest and real, but with compassion
• Bring some lagniappe into everything you do
• Forget one-size-fits-all, think one-of-a-kind care
• See opportunities, not problems – it's all about perspective
• Cheerlead ideas, differences, and each other
• Love what makes you, you – because we do

You are welcome here

At blithequark, we are an equal opportunity employer. We welcome applicants from diverse backgrounds and perspectives, and we are committed to creating a workplace that is inclusive and respectful of all individuals.

How to Apply

If you are a motivated and compassionate individual who is passionate about delivering exceptional customer experiences, we invite you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, through our online application system. We look forward to hearing from you! Apply Job! Apply for this job