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Oklahoma City

    Senior Patient Account Representative - Oklahoma City, United States - OU Health

    OU Health
    OU Health Oklahoma City, United States

    3 weeks ago

    OU Health background
    Description
    Position Title:
    Senior Patient Account Representative - OUHP Revenue Integrity

    Department:
    OUHP 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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