Patient Accounts Representative

Job Description Location: This position is a work from home position, candidate must be located in Kansas or Missouri Schedule: Flexible Schedule - Monday - Friday: 6:00AM - 6:00PM - Patient Accounts Representative is responsible for reviewing, billing, collection, and accounts receivable activities for the hospital (and in some cases the physician) billing departments within Saint Luke's Health System. - Activities include, but are not limited to: - entering demographics, troubleshooting issues, responding to inbound and outbound billing calls from patients - payment posting, resolving credits - identifying, and correcting medical claim errors that may prevent payment - identifying, correcting, and resubmitting medical claims denied by insurance companies - Resolving claim edits, working denials and appeals - Patient Account Representative may be responsible for any or all the following duties, including duties not otherwise assigned. Claim Processing - Responsible for researching patient billing claims to correct claim errors - Understand respective payor requirements so claims are processed correctly - Familiar with NCCI / NCD / LCD edits, incidentals/inclusive, and bundling rules, etc. - Work with multiple teams/departments to resolve issues - Hand billing of specialty care which may include residential care, transplant and research Insurance Denials - Responsible for researching, identifying errors, and correcting claims denied by insurance companies - Responsible for writing appeal letters to insurance companies - Research refund request from payor organizations - Responsible for preliminary audit of billing code errors before claim resubmitted from denial - Responsible for becoming a subject matter expert on the payor policies Payment posting - corrections/adjustments and ability to distribute payments Insurance Follow-Up - Responsible for following up with insurance companies for unpaid claims - Responsible for communicating and resolving problems with the provider representatives when applicable - Payment posting corrections/adjustments and ability to distribute payments - Responsible for researching patient insurance coverage to identify and resubmit claims to fix coverage claim rejection/no pays Client Accounts - Responsible for reviewing all accounts at the beginning of the month to make sure they are ready for statements - Work with clients on any billing questions they have - Client refunds Job Requirements - Applicable Experience: 1 year Job Details - PRN - Day (United States of America)