- Responsible for reviewing patient/guarantor accounts and investigate credit balances (includes reviewing overpayments from insurance companies and patients)
- Investigate Undistributed payments in Epic system to determine if should be re-distributed or refunded
- Identify trends causing credits and escalate to other team members for resolution
- Work assigned work queues within Epic timely
- Ideal candidate will have at least 1 year experience in general billing (required)
- We value knowledge, experience, and expertise to improve patient outcomes and quality care.
- The opportunity to make an impact on the health system and the healthcare industry.
- Saint Luke's offers competitive salaries and benefits packages to all of their employees, click here to find out more.
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Patient Accounts Representative - Kansas City, United States - Saint Luke's Health System
Description
Job Description
The Patient Account Representative will be responsible for reviewing and auditing billing charges, billing, collection, straightforward coding, and all account receivable activities for the physician clinics within Saint Luke's Health System. Activities include, but are not limited to, entering charge demographics, troubleshooting charge related issues raised by clinic staff, responding to inbound and outbound billing calls from patients, payment posting, resolving payment credits, identifying and correcting medical claim errors that may prevent payment and identifying, correcting, and resubmitting medical claims denied by insurance companies. Resolving claim edits, working denials and appeals. Evaluation and coding of ICD, CPT, HCPCS. All coding initiatives, NCCI edits, incidentals/inclusive, and bundling rules, etc. Demonstrate competency for invalid diagnosis, modifiers, coding related issues.
This position has flex hours, employee works 5 days a week M-F. Employee can choose how to work 8 consecutive hours anytime between 6:00-5:30 pm. This is a telecommuting position, offers career ladder advancement opportunities, and includes a bonus program.
Credits Team Job Duties:
Important To Note:
Why Saint Luke's?
Job Requirements
Applicable Experience:
1 yearJob Details
Full TimeDay (United States of America)The best place to get care. The best place to give care. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.