(Helping Patients and Practices Navigate the Financial Side of Care)
What We’re Looking For:
- A detail-oriented professional with experience in Business Office operations and Insurance Collections
- Strong understanding of commercial insurance processes
- Ability to analyze outstanding account balances and follow up for resolution
- Experience processing claims, denials, and payment follow-up
- Strong documentation, organization, and communication skills
- High School Diploma or GED preferred
Why You'll Love Working With Us:
At Baton Rouge General, our patients aren't the only people we take care of; we take care of our team too. We are proud to offer our employees the benefits and resources they need to be their best selves at work and at home.
- A comprehensive benefits program for you and your family
- Professional development and support
- Various employee perks include generous paid time off, flexible positions, and our Baton Rouge General Fit! program
- We are a nationally and locally recognized leader in quality and ranked one of the best healthcare employers in the state
- Check out our employee perks: https://www.brgeneral.org/about/careers/perks
What You Will Do:
Analyze and follow up on outstanding account balances while establishing acceptable payment arrangements. This role supports timely claim resolution, insurance follow-up, and denial management while maintaining compliance with organizational, regulatory, and safety standards.
Essential job functions include, but are not limited to:
- Process claims populating into the Ambulatory Claims Manager (ACM) system
- Resolve invalid and rejected claims within established timeframes
- Document account status and actions taken within system notes
- Refer delinquent responses and new denials to management as appropriate
- Process hard copy claims for payment
- Obtain and attach Explanation of Benefits (EOBs) for secondary and tertiary billing
- Review claims for timely filing guidelines and fee schedule reimbursement prior to submission
- Maintain and respond to practice communications, including Requests for Additional Information (RAIs)
- Monitor and escalate lack of responses when necessary
- Assist with special projects, including reviewing “unable to bill” claims and investigating denial reports
- Maintain compliance with HIPAA regulations and patient confidentiality requirements
- Follow all applicable patient and employee safety practices
- Perform all other duties as assigned
What Sets BRG Apart:
At Baton Rouge General, we are a community of compassionate, caring individuals who set the bar when it comes to healthcare excellence. Our mission is to preserve and restore health, one person at a time. From clinical to non-clinical – what you do here matters.
With over 600 licensed beds between three campuses, Baton Rouge General offers the full spectrum of care from delivering newborns to providing end-of-life support through hospice. With clinics located throughout Baton Rouge and the surrounding areas, our physician group provides patients with comprehensive care and a full suite of specialties, including internal and family medicine and specialty care.
Ready to be part of a team that values your skills and dedication? Apply now and take the next step in your career with us.
