Senior Patient Account Representative

2 semanas atrás


São José de Ribamar, Brasil OU Health Tempo inteiro

4 days ago Be among the first 25 applicants Position Title Senior Patient Account Representative - Revenue Integrity Department Revenue Integrity Job Description General Description: Under general supervision, may participate in any or all aspects of the patient processing and accounts receivable functions of the organization including billing, charge entry, collection, registration, scheduling, follow‑up, coding, payment posting and credit balance resolution. May reconcile daily IDX system receivables reports. May balance monthly transactions and provide summaries to faculty and department administration. Essential Responsibilities Patient scheduling Patient registration Review patient admitting records and extract relevant information Record patient identification and demographic information in the computerized billing system Contact agency representatives to verify type and extent of coverage. Charge entry Perform preliminary review of source documents to determine that sufficient data are present for processing Using alphanumeric keyboard, transcribe and/or verify data from source documents to the medium used for entering data into the computer Batch charges Generate cash totals Enter charges Balance batches by comparing batch proofs to source documents and hash totals Billing Work with all areas of the organization in getting any necessary or requested documentation for patients, insurance carriers or other areas. May interact with hospital patient accounting or records personnel to obtain patient demographic or other billing information Operate hospital information system terminal to obtain patient demographic information, patient insurance information and status of approvals or denials Complete processing of all inpatient and outpatient documents received on a daily basis Assist in resolving department problems with IDX billing Maintain records of charges, payments, third party charges, etc. Collection Answer patient’s questions regarding statements, agency coverage, etc. Handle correspondence regarding collection activity and record results Identify patient accounts for collection action when accounts become delinquent or when unable to contact patient or responsible party May receive patient payments and/or issue payment receipts Coding Record CPT codes on billing form Record ICD-9 codes on billing form Follow‑up Initiate contact with patients and/or third party carriers if there is a delay in responding to statements or claims May process incoming and outgoing mail May receive incoming telephone calls and resolve issues communicated Record results of mail and telephone contacts on the computer billing system Contact insurance carriers regarding non‑payment and/or improper payment of claims Review denials Interface with patients, physicians, and others regarding professional billing operations and funds Payment posting Post receipts to proper patient accounts Post denials Compare batch proofs and source documents for accuracy Reporting Assist in reviewing and balancing IDX transaction reports for administration Reconcile daily IDX receivables reports Prepare billing statements from statistical data Credit balance resolution Review daily billing and accounts receivable credit balance reports Prepare daily refund check requests Prepare other daily credit balances other than refunds Post refund checks to patient accounts Mail refund checks with supporting documentation General Responsibilities Perform other duties as assigned. Minimum Requirements Education: None required. Experience: 1.5 years of experience in Medical Billing, Medical Collections, Medical Billing Systems (IDX or other billing system) required. Licensure/Certifications/Registrations: None required. Knowledge, Skills, and Abilities: Attention to detail Excellent verbal and written communication skills Proficient with the use of Microsoft Office tools OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family. Seniority level: Entry level Employment type: Full‑time Job function: Health Care Provider Industries: Hospitals and Health Care #J-18808-Ljbffr



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