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The Acadian Companies

<div>Acadian Client Services has an immediate opening for a full-time Vendor Management Billing Specialist to join their team in Lafayette, LA.

Job Location: Lafayette, LA - This position is based in the office, Monday-Friday, 8:00am-5:00pm. This is NOT a Work from Home position.

Summary of Duties: The Vendor Management Billing Specialist is responsible for auditing and increasing the quality standards within the revenue cycle department by reviewing claims processes, billing protocols, and write off protocols are followed according to established policies. This position will independently review claims and make recommendations to senior leadership on process improvements or educational opportunities.

Essential Functions:
<ul>
<li>Responsible for claim status checks as needed to ensure proper resolution</li>
<li>Initiating contact with insurance providers as needed</li>
<li>Review and process claim rejections and appeals for research and resolution</li>
<li>Monitor payment discrepancies and process payments</li>
<li>Review claims for Federal compliance</li>
<li>Process incoming correspondence and phone calls specific to the payer type</li>
<li>Verification of patient insurance</li>
<li>Ensure accuracy of demographic information</li>
<li>Other duties and responsibilities as assigned</li>
</ul>
Qualifications:
<ul>
<li>High school diploma or equivalent</li>
<li>Previous medical billing experience preferred</li>
<li>Proficient in Google, MS Office Suite or related software</li>
<li>Possess strong organizational skills</li>
<li>Punctual with strong attendance history</li>
<li>Ability to adhere to productivity goals, departmental and company guidelines, dress code, policy and procedures</li>
<li>Excellent interpersonal skills and time management</li>
<li>Maintain highest level of confidentiality</li>
</ul>
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. 
 
Req Benefits: We offer comprehensive insurance benefits for full-time employees, including but not limited to Medical, Dental, Vision coverages, along with 401(k) and ESOP (Employee Stock Ownership Program), and Vacation and Sick time.</div>

Billing Specialist (Vendor Management)

<div>JOB SUMMARY: This position will assist the billing office with clerical duties including but not limited to: routine clerical and administrative functions such as correspondence, organizing and maintaining paper and electronic files, and providing information to callers.
JOB LOCATION: Lafayette, LA - This position is based in the office, Monday-Friday, 8:00 AM to 5:00 PM.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
<ul>
<li>Verifying patient demographics</li>
<li>Refunding third parties</li>
<li>Pulling, printing, and mailing of claims, medical records and EOB's
</li><li>Data Entry into billing system</li>
<li>Other duties and responsibilities, as assigned</li>
</ul>
QUALIFICATIONS:
<ul>
<li>High school diploma or equivalent</li>
<li>Proficient in Google, MS Office Suite or related software</li>
<li>Excellent communication and customer relation skill</li>
<li>Ability to establish and maintain working relationships with coworkers and patients</li>
<li>Professional work ethic and dress code</li>
<li>Ability to adhere to productivity goals, departmental and company guidelines, policy and procedures</li>
<li>Possess strong organizational skills</li>
<li>Understands HIPAA and Red Flag guidelines</li>
<li>Maintain highest level of confidentiality</li>
<li>Punctual with strong attendance history</li>
</ul>
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. 
 
Req Benefits: We offer comprehensive insurance benefits for full-time employees, including but not limited to Medical, Dental, Vision coverages, along with 401(k) and ESOP (Employee Stock Ownership Program), and Vacation and Sick time.</div>

Billing Office Support (Commercial)

<div>The candidate is responsible for handling mid-level support of custom developed accounts receivable software, independent research, and rule authoring. Rule authoring is a form of software development that includes complex computational analysis of system events, conditions, actions, sequencing, branch analysis, and chaining/recursion. Our current rules engine has hundreds of thousands of rules and millions of condition checks that require precise grouping and sequencing to ensure continuity of automated revenue cycle processes. Managing a robust and complex business rule set, as part of a team, includes functions similar to that of software development: debugging, troubleshooting, research, and new rule development.
<h2 class="jobSectionHeader">Job Tasks</h2>
<ul><li>Complete rule adjustments for allowables and charges</li>
<li>Assist in troubleshooting application issues</li>
<li>Create effective systems documentation</li>
<li>Develop knowledge of the business and workflows</li>
<li>Analyze logical conditional pathways to confirm expected results</li>
<li>Determine business impacts on workflow and assist in the development of new workflows</li>
<li>Interpret business requirements into technical specifications
</li><li>Develop on-going strategies for productivity improvements
</li><li>Analyze rules for logical completeness, correctness, and optimization</li>
<li>Coordinate and prioritize multiple projects and deadlines
</li><li>Conduct independent research with technical staff and subject matter experts</li>
<li>Recommend changes in testing methods as needed</li>
<li>Communicate complex information simply</li>
<li>Complete other assigned responsibilities</li>
<li>Other Continuity of Operations Duties as assigned</li>
</ul><h2 class="jobSectionHeader">Qualifications</h2>
<ul><li>Minimum of 3 years of experience in healthcare software systems
</li><li>Bachelor's degree in Health Information Management, Computer Science, MIS, Informatics preferred</li>
<li>1 year of claims processing and reimbursement policy experience or equivalent knowledge preferred</li>
<li>Proficiency with Microsoft Office</li>
<li>Proficiency querying Microsoft SQL Server or other relational database is a plus</li>
<li>Knowledge of structured programming techniques and database methodologies is a plus</li>
</ul>
 
Req Benefits: We offer comprehensive insurance benefits for full-time employees, including but not limited to Medical, Dental, Vision coverages, along with 401(k) and ESOP (Employee Stock Ownership Program), and Vacation and Sick time.</div>

Healthcare Business Rules Analyst

Join The Acadian Companies and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

The Acadian Companies

About Company

Billing Specialist (Vendor Management)

Billing Office Support (Commercial)

Healthcare Business Rules Analyst