Patient Account Representative

Saint Francis Health System

5d

About The Position

The Patient Account Representative performs assigned clerical billing responsibilities to ensure patient accounts are processed for prompt and accurate payment. The role serves as a liaison among Patient Account Services, physician offices, clinical areas, patients, and third-party carriers to identify and resolve issues that delay payment. The position is in the Business Office at All Saints Home Medical in Tulsa, Oklahoma.

Requirements

• High school diploma or GED.
• 1–2 years of relevant experience.
• Basic healthcare and insurance terminology.
• High level of timeliness and accuracy.
• Basic computer knowledge and skills.
• Ability to navigate insurance websites to access patient, eligibility, and payment information.
• Good written and verbal communication skills.
• Understanding of a professional business environment.
• Basic knowledge of medical billing and insurance follow-up activity.

Nice To Haves

• Previous DME experience preferred.

Responsibilities

• Monitor, research, and update patient accounts according to established protocols to resolve balances and maximize reimbursement.
• Answer patient, insurance, and client calls and respond to correspondence within standards to resolve account balances.
• Coordinate with physician offices, insurance carriers, clinical areas, and other third-party payers regarding document requests, eligibility issues, contractual payment accuracy, and timely claim submission.
• Evaluate and adjust accounts using applicable guidelines based on patient or account status, including deceased patients, small balances, and charity.
• Review past-due self-pay balances for referral to outside collection sources, financial assistance, or payment-plan opportunities.
• Monitor daily electronic claims transmissions and research and resolve electronic claim rejections.
• Perform charge corrections, understand the rejection-code subsystem, and ensure accurate posting of contractual payments and rejection codes.
• Review insurance reimbursement for compliance with fee schedules and appeal underpayments and denials using appropriate tools and resources.
• Reconcile payments received and posted daily with financial accounting.
• Perform assigned billing, eligibility, account follow-up, and related duties, as well as other duties assigned based on productivity expectations.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED