Patient Account Representative - Paper Claims Follow Up Team

Hiring Department

University Physicians

Job Description

#upjobs

Job Summary :

Responsible for all facets of medical billing and accounts receivable management. This includes charge corrections, contractual adjustments, and customer service. Insurance follow-up in accordance with practice protocol, federal, state, and governmental payor guidelines with an emphasis on maximizing timely collections, reduction in AR greater than 90 days, and department collaboration.

Strict adherence to procedure adjustment policies, refund policies and other accounts receivable policies as outlined in the UPPA manual is required.

Essential Functions :

1. Obtain claim status and payment information via telephone or payer websites.

2. Review denials for next steps (appeals, redeterminations, working with coding team, etc).

3. Process coding corrections and submit corrected claims to payer.

4. Post adjustments to patient accounts with strict adherence to the guidelines in the UPPA manual.

5. Assists customer service department via phone or email with billing questions or issues within 24 business hours.

6. Follow-up on all outstanding insurance claims at 30-days from the date of service in accordance with practice protocol with an emphasis on and timely collections.

7. Ability to analyze problems with trends to provide information pertaining to billing, contracted managed care plans, insurance carriers, denial reduction, provider enrollment, and reimbursement to Coordinators and / or Supervisors.

8. Follow-up on all denied claims, insurance correspondence, account reconciliations and rebills to achieve maximum reimbursement in a timely manner.

9. Submit insurance claims electronically / paper daily with proper documentation.

10. Proficiency with all facets of multiple medical practice management systems including patient registration and insurance processing.

11. Maintain an organized, efficient, and professional work environment.

12. Adhere to all practice policies related HIPAA and Medicare Compliance.

13. Other duties as assigned.

Shift

Monday - Friday

8 : 00 a.m. - 5 : 00 p.m.

Minimum Qualifications

High school diploma or an equivalent combination of education and experience from which comparable knowledge, skills and abilities can be acquired.

Two (2) years of clerical experience; education may be used in lieu of experience.

Preferred Qualifications

Professional Interests : Comprehensive understanding of accounts receivable management preferably in a medical office setting.

Additional Training : Knowledge of ICD-9, ICD-10, CPT / HCPCS, modifiers, coding, and documentation guidelines. Experience with Managed Care plans and payer guidelines.

Anticipated Hiring Range

Salary Range : $16.68 - $23.32 hourly

Grade : PAT - 005

University Title : PAT ACCT REP

Internal applicants can determine their university title by accessing the Talent Profile tile in myHR.

Application Materials

In addition to the Online Application, please provide a Cover Letter and Resume.

Benefit Eligibility

This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, short- and long-term disability, paid parental leave, paid caregiver leave, and educational fee discounts for all four UM System campuses. For additional information on University benefits, please visit the Faculty & Staff Benefits website at

Equal Employment Opportunity

The University of Missouri is an Equal Opportunity Employer.

To request ADA accommodations, please call the Director of Accessibility and ADA at 573-884-7278.