Central Pricing Office Specialist- Call Center- Remote

Business Office - Benson Tower Location: New Orleans, LA Job Number REQ_00262547 Location Type: On-site Sign-on Bonus: N/A

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We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

This job assumes responsibility for creating and ensuring an environment of price transparency to network physicians and patients. Works closely with the Chargemaster team to learn pricing structure for both Self-Pay and Insurance Based Patients. Answers inquiries from physicians and patients via phone, email or internet regarding pricing issues. Serves as a liaison between Patient Financial Services, Financial Clearance Call Center and customer service operations.

Education

Required - High School diploma or equivalent

Preferred - Bachelor's degree in Finance, Accounting, Business, Healthcare Administration or related field

Work Experience

Required - 4 years direct healthcare experience, OR 3 years direct healthcare experience with a Bachelor’s degree, OR 2 years direct healthcare experience with a Master’s degree.

Preferred - Revenue cycle experience in both Physician Billing and Hospital Billing,

Chargemaster or coding experience.

Certifications

Preferred - Related professional certification (e.g. CIA, CPA, CISA, CPC, CCS, etc.)

Knowledge Skills and Abilities (KSAs)

Must have computer skills and dexterity required for data entry and retrieval of patient information.
Must be proficient with Windows-style applications and keyboard and various software packages specific to role.
Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
Working knowledge of medical terminology utilized in medical billing including CPT HCPCS and ICD9 & ICD10
Working knowledge of record keeping using an automated system and/ or health care billing including Medicaid, Medicare, or other third-party payers.
Knowledge of hospital payor contracts, denials and payor methodology.
Working knowledge of public and private sources of assistance and methods of qualifying for funding.
Working knowledge of medical billing and collection practices.
Strong interpersonal skills.
Must have excellent decision-making, delegating, and technical writing skills.
Established knowledge and skills with Epic is preferred.
Works with minimal supervision and makes independent decisions.
Must be able to travel to and from locations across the system.

Job Duties

Acts as a liaison between the Chargemaster and the physicians/patients.
Answers patient and physician inquiries addressed to the Central Pricing Office’s phone, email or internet regarding pricing questions and provides accurate estimates.
Assists with pricing transparency and education to better explain the process and reasoning to physicians and patients through e-mails, phone calls, internet questions, participation in facility and provider meetings and maintenance of the website verbiage and educational material available to patients on pricing and estimates.
Assists with the establishment of Epic’s Price Estimator Tool and patient estimate work queues as needed by working with the Epic team in establishing rules, creation and modification of estimate templates and self-service options available to patients. Also identifies additional opportunities to incorporate new services into the estimate and financial clearance workflows.
Assists leadership and Internal Consultants with special projects and trend analysis to improve estimate accuracy by utilizing the Epic Estimator dashboard to drill into inaccurate estimates and to identify and correct the root cause whether it be technical or educational.
Works directly with medical supply vendors on unknown charges in the system when needed.
Thoroughly researches payor contracts to formulate manual cost estimates on complex cases or when historical data is not available.
Utilizes appropriate coding guidelines to properly assign ICD-10 and CPT codes to patients.
Other related duties as required.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.

The incumbent has no occupational risk for exposure to communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

Are you ready to make a difference? Apply Today!

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Please refer to the job description to determine whether the position you are interested in is remote or on-site.Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.

Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or careers@ochsner.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

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The culture here is truly remarkable, and the organization consistently works to make every employee feel valued. I deeply appreciate the career advancement opportunities and the flexibility to align my professional and personal priorities.
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Ochsner has given me the opportunity to grow, learn and move across different departments to find my niche. I was trained here by great people, and I’m able to use my skills every day to support my physician and care for patients.
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Ochsner is family, and I’m fortunate to have been surrounded by so many supportive people early in my career that made an investment in me. This has not changed. My favorite part about working at Ochsner is now being in the position to pay it forward to the students and staff that were like me 20 years ago.
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Our team members are the driving force at Ochsner Health. They live our values of patients first, integrity, compassion, inclusivity, teamwork and excellence. Ochsner invests in initiatives that enhance our environment and allow team members to flourish while patients remain the priority in our mission-driven efforts.

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Central Pricing Office Specialist- Call Center- Remote

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Purpose in Action

Jackie W.

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Tracey S.

EVP, Chief People and Culture Officer

Behind the Scenes with Ochsner Careers