Patient Accounts Representative

Saint Luke's Health System•Kansas City, MO

3d•Remote

About The Position

Patient Accounts Representative is responsible for reviewing, billing, collection, and accounts receivable activities for the hospital (and in some cases the physician) billing departments within Saint Luke's Health System. Activities include, but are not limited to, entering demographics, troubleshooting issues, responding to inbound and outbound billing calls from patients, payment posting, resolving credits, identifying, and correcting medical claim errors that may prevent payment and identifying, correcting, and resubmitting medical claims denied by insurance companies. Resolving claim edits, working denials and appeals. Patient Account Representative may be responsible for any or all the following duties, including duties not otherwise assigned. Location: This position is a work from home position, candidate must be located in Kansas or Missouri Schedule: Flexible Schedule - Monday - Friday: 6:00AM - 6:00PM The best place to get care. The best place to give care. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke’s means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter. Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer. Saint Luke’s Health System includes 18 hospitals and campuses across the Kansas City region, home care and hospice, behavioral health care, dozens of physician practices, a life care senior living community, and more. Find out more about what Saint Luke’s offers: http://www.saintlukeskc.org/about-saint-lukes Are you interested in staying up to date on openings at Saint Luke’s Health System? Simply sign up for job alerts at https://careers.saintlukeskc.org/job-alerts When we have opportunities that meet your interests, you will receive an email with the job details. Saint Luke’s Health System values our employees and we encourage them to apply to any internal openings. If you are a current Saint Luke's Health System employee, please apply through your Workday account by typing "Find Jobs" in the top left corner search bar. You can also follow the link below to the current internal career site to apply. http://www.myworkday.com/saintlukes/d/task/1422$1011.htmld

Requirements

Applicable Experience: 1 year
Diploma

Responsibilities

Responsible for researching patient billing claims to correct claim errors
Understand respective payor requirements so claims are processed correctly
Familiar with NCCI / NCD / LCD edits, incidentals/inclusive, and bundling rules, etc.
Work with multiple teams/departments to resolve issues
Hand billing of specialty care which may include residential care, transplant and research
Responsible for researching, identifying errors, and correcting claims denied by insurance companies.
Responsible for writing appeal letters to insurance companies
Research refund request from payor organizations
Responsible for preliminary audit of billing code errors before claim resubmitted from denial
Responsible for becoming a subject matter expert on the payor policies
Payment posting corrections/adjustments and ability to distribute payments
Responsible for following up with insurance companies for unpaid claims
Responsible for communicating and resolving problems with the provider representatives when applicable
Payment posting corrections/adjustments and ability to distribute payments
Responsible for researching patient insurance coverage to identify and resubmit claims to fix coverage claim rejection/no pays
Responsible for reviewing all accounts at the beginning of the month to make sure they are ready for statements.
Work with clients on any billing questions they have
Client refunds