Note: The job is a remote job and is open to candidates in USA. UC Health is an academic health system focused on advancing healing and reducing suffering. The Patient Accounting Representative II manages revenue cycle accounts receivable, follows up with payers and patients to secure timely payments, resolves claims issues, analyzes collection trends, and supports team productivity and quality improvement.
Responsibilities
- Communicates directly with payers to follow up on outstanding claims and achieve timely reimbursement. This may include obtaining claim status, submitting reconsiderations, or submitting appeals
- Monitors and reviews denial reason codes to identify root causes; works with payer contracting, other areas of the revenue cycle, and payer representatives, if necessary to resolve issues
- Analyzes data to track collection efforts, identify trends, and provide team with updates and ideas for improvement
- Monitors payer files for accuracy, ensures payer documentation is completed by follow-up staff, and assists in updating files with pertinent information as necessary
- Assists other follow-up staff in identifying high-risk accounts and prioritizing follow-up efforts
- Helps to work and resolve accounts from other staff members’ workloads to prevent backlogs and fills in as needed for absent staff
- Maintains superior understanding of claims management, third-party payer guidelines, state and federal regulations, and all other functions of the job; educates and trains other follow-up staff as needed
- Maintains compliance with HIPAA guidelines and ensures staff maintain discrepancy when handling patient information
- Works independently to resolve claims issues
- Participates in continuous quality improvement efforts on an ongoing basis, establishing goals with supervisors and tracking progress
- Offers suggestions to improve individual and team productivity
- Maintains a quality review score of 90% or greater on department quality reviews
- Assists supervisor with identifying departmental areas in need of improvements
- Attends 1 or more UC Health training and development courses per year
- Other duties as assigned
- Maintains 100% or greater each week on department productivity scoring and takes responsibility for individual productivity standards
- Other duties as assigned
Skills
- Minimum Required: High School Diploma or GED
- Minimum Required: 3 – 5 years of relevant experience in Revenue Cycle and/or Epic Revenue Cycle applications
- Preferred: Associate degree
Benefits
- Remote work arrangement
Company Overview