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Senior Patient Account Representative - Revenue Integrity

Senior Patient Account Representative - Revenue Integrity

OU HealthOklahoma City, OK, United States
1 day ago
Job type
  • Full-time
Job description

Position Title : Senior Patient Account Representative - Revenue Integrity Department : Revenue Integrity Job Description :

General Description : 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 : None required.

    Experience : 1.5 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
  • Current OU Health Employees - Please click HERE to login.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.

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    Patient Account Representative • Oklahoma City, OK, United States

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