Senior Patient Account Representative

Senior Patient Account Representative

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 extracts relevant information

Records patient identification and demographic information in the computerized billing system

Contacts agency representatives to verify type and extent of coverage.

Charge entry

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

Billing

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.

Collection

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

Coding

Record CPT codes on billing form

Record ICD-9 codes on billing form

Follow-up

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

Payment posting

Post receipts to proper patient accounts

Posts denials

Compare batch proofs and source documents for accuracy

Reporting

Assists in reviewing and balancing IDX transaction reports for administration

Reconciles daily IDX receivables reports

Prepares 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 :

Performs other duties as assigned.

Minimum Requirements :

Education : High School Diploma or GED.

Experience : 3-5 years of experience in Medical Billing, Medical Collections, Medical Billing Systems (IDX or other billing system) required.

Licensure / Certifications / Registrations Required : None required.

Knowledge, Skills, and Abilities :

Attention to detail

Excellent verbal and written communication skills

Proficient with the use of Microsoft Office tools

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.