Patient Accounting Representative I

The University of Kansas Health System • Liberty, MO

1d

About The Position

The Patient Accounting Representative I is responsible for accurate and timely action on accounts, ensuring compliance with governmental and managed care rules and regulations. This role aims to meet department goals, productivity, and quality standards. The representative will attend and actively participate in training and education. The position involves functions within assigned Patient Financial Services (PFS) departments/teams, which include Payment Posting/Credits & Refunds, Insurance follow up, Provider Enrollment, and Revenue Integrity. The individual must be able to perform the professional, clinical, and/or technical competencies of the assigned unit or department.

Requirements

• High School Graduate or GED.

Nice To Haves

• 1 or more years of experience in Epic.

Responsibilities

• Posts payments, refunds and adjustments to accounts within designated time frame.
• Completes assigned work queue within designated time frame.
• Balances receipts, reconciles daily batches and prepares audit trail in accordance to department guidelines.
• Reviews Explanation of Benefit’s for incorrect and or inconsistencies in reimbursement.
• Identifies consistent fee schedule allowable differences and communicates up line for updating.
• Communicates payer trends to management.
• Follows up with insurance companies on denials and insurance inquiries as necessary to resolve the account.
• Provides additional information or documentation as needed to resolve account.
• Notes actions taken on the accounts and verifies and updates insurance as directed by department policy.
• Completes assigned work queue within designated time frame.
• Processes adjustments on accounts as necessary in compliance with department policy.
• Enrolls, validates and re-validates practitioners’ information with government and commercial payers.
• Updates databases, monitors Medicare, Medicare and Commercial payer websites for revalidation notices and communicates provider changes to contracted health plans and departments utilizing standardized reports.
• Assists with processing applications in accordance to organization's policy, procedures and health plan requirements.
• Audits provider data to assure accuracy as assigned.
• Communicates roster changes from physician groups.
• Review department specific Epic Charge work queues, make corrections and follow up with departments as needed.
• Review daily Epic charge router reconciliation report make sure all charges are filed and interfaced.
• Assist departments with charge error corrections including duplicate, missing or rejected charges.
• Analyze revenue trending reports and escalate problems to manager and departments as appropriate.
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees