Denials Management Medical Collector – PB

LCMC Health

. Complete daily follow-up or denial account assignments accurately and timely .

Posted 11/4/2026full-timeLouisiana • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare billing processes, denial management, and appeals resolution while adhering to HIPAA and regulatory standards. Proven ability to analyze payment discrepancies and collaborate effectively with internal and external stakeholders to ensure accurate reimbursement.

Highest-signal resume keywords

Healthcare Billing ExperienceDenial ManagementAppeals ResolutionKnowledge of ERISA GuidelinesCustomer Service Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Payment ProcessingClaims AnalysisReimbursement KnowledgeInsurance ProtocolsSystem Report AnalysisProblem IdentificationTime ManagementMultitasking

Soft Skills

Effective CommunicationWriting SkillsCollaboration

Tools & Technologies

Computer SystemsHealthcare Billing Software

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

HIPAA ComplianceMedicare RequirementsMedicaid RequirementsThird-Party ContractingFederal RegulationsState Regulations

About the role

Key responsibilities & impact

Complete daily follow-up or denial account assignments accurately and timely
Identify and analyze underpayments, discrepancies, denials, and appeals
Review posted payments, adjustments, and EOBs to ensure accurate reimbursement
Research, document, track, respond to, and resolve appeals with third-party payers
Communicate with payers regarding outstanding claims and payment variances
Document all activity on patient accounts
Collaborate with internal departments and external organizations to ensure correct reimbursement and resolve appeals
Monitor underpaid and denied claims for trends and root causes; report findings to supervisor
Recommend improvements and communicate trends and issues to management
Follow best-practice processes in follow-up and customer service activities
Participate in staff training related to improvement opportunities and Medicare/Medicaid requirements
Act in accordance with LCMC Health's mission and values and ethical standards
Adhere to HIPAA, federal and state regulations, and facility-specific guidelines

Requirements

What you’ll need

Minimum two years of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing, or denial management is preferred
Required: A high school diploma or GED
Must be able to pass basic computer skills test and system level training
Working knowledge of system reports and ability to analyze system information
Knowledge of hospital and professional billing processes and reimbursement
Knowledge of third-party contracting
Knowledge of insurance protocols, delay tactics, systems, and workflows
Knowledge of ERISA guidelines for denials and appeals
Knowledge of regulations related to denials and appeals
Ability to identify problems, conceptualize resolutions, and implement change
Efficient time-management skills and proven ability to multitask under tight deadlines
Excellent customer service skills
Effective writing and communication skills
Strong comfort level with computer systems
Proof of citizenship or immigration status required to verify lawful right to work in the United States

Benefits

Comp & perks

Equal opportunity employment
Lawful right-to-work verification and employment/background verification processes