Senior Patient Account Rep - Follow Up and Denials

OU Health

1d•Remote

About The Position

New to OU Health? Ask your recruiter about our competitive wages and total rewards package. Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment. SHIFT: M-F, Days w/some flexibility post-training completion. Training starts in the early morning (630-7a) Ideal candidate is self-motivated with problem-solving skills, has a general understanding of HIPAA and/or EOB and experience working with insurance companies. Under general supervision, this role 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. The Senior Patient Account Rep may reconcile daily IDX system receivables reports and balance monthly transactions, providing summaries to faculty and department administration. OU Health is the state’s only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma’s largest doctor network with a complete range of specialty care. OU Health serves Oklahoma and the region with the state’s only freestanding children’s hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center, Oklahoma’s flagship hospital, which serves as the state’s only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community. Becker’s Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020. OU Health’s oncology program at OU Health Stephenson Cancer Center was named Oklahoma’s top facility for cancer care by U.S. News & World Report in its 2020-21 rankings. OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure. OU Health’s mission is to lead healthcare in patient care, education and research. Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals. We are seeking individuals who have a passion and talent for caring for others. By joining our team, you will provide quality health care to our community through the work you do every day. We provide clinical and non-clinical opportunities to further your career and we invite you to explore our available positions.

Requirements

High School Diploma or GED
3-5 years of experience in Medical Billing, Medical Collections, Medical Billing Systems (IDX or other billing system)
Attention to detail
Excellent verbal and written communication skills
Proficient with the use of Microsoft Office tools
General understanding of HIPAA and/or EOB
Experience working with insurance companies

Responsibilities

Patient scheduling
Patient registration
Review patient admitting records and extracts relevant information
Records patient identification and demographic information in the computerized billing system
Contacts agency representatives to verify type and extent of coverage
Performs preliminary review of source documents to determine that sufficient data are present for processing
Using alphanumeric keyboard, transcribes and/or verifies data from source documents to the medium used for entering data into the computer
Batch charges
Generate cash totals
Enter charges
Balances batches by comparing batch proofs to source documents and hash totals
Works 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
Operates hospital information system terminal to obtain patient demographic information, patient insurance information and status of approvals or denials
Completes processing of all inpatient and outpatient documents received on a daily basis
Assists in resolving department problems with IDX billing
Maintains records of charges, payments, third party charges, etc.
Answers patient’s questions regarding statements, agency coverage, etc.
Handles correspondence regarding collection activity and records 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
Record CPT codes on billing form
Record ICD-9 codes on billing form
Initiates 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
Records results of mail and telephone contacts on the computer billing system
Contacts insurance carriers regarding non-payment and/or improper payment of claims
Reviews denials
Interfaces with patients, physicians, and others regarding professional billing operations and funds
Post receipts to proper patient accounts
Posts denials
Compare batch proofs and source documents for accuracy
Assists in reviewing and balancing IDX transaction reports for administration
Reconciles daily IDX receivables reports
Prepares billing statements from statistical data
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
Performs other duties as assigned