Patient Account Representative

Saint Francis Health System; Tulsa (OK); Vor Ort; USD 22.000 - 30.000; Vollzeit

Zusammenfassung

Saint Francis Health System's All Saints Home Medical in Tulsa, OK is seeking a Patient Account Representative to manage clerical billing and ensure prompt payments. This role acts as a liaison between Patient Accounts, physician offices, clinical areas, patients and insurers.

You will handle claims, eligibility checks, and balance resolutions daily, with a focus on accuracy, timeliness, and professional communication in a busy healthcare environment.

Qualifikationen

• High School Diploma or GED required.
• 1–2 years of relevant experience.
• Basic healthcare and insurance terminology knowledge.
• High level of timeliness and accuracy.
• Ability to navigate insurance websites for patient information.
• Good written and verbal communication skills.

Aufgaben

• Monitor and update patient accounts to resolve balances and maximize reimbursement.
• Answer patient, insurance and client calls and respond to correspondence promptly.
• Act as liaison between Patient Accounts, physician offices, insurance carriers, clinical areas and third party payers to assist with documentation requests and eligibility issues.
• Review past due self-pay balances for assignment to outside collection sources or payment plans.
• Monitor electronic claims transmission, research and resolve rejections, perform charge corrections and post payments.
• Reconcile payments daily with financial accounting and handle billing, eligibility, and follow-up activities as needed.

Ausbildung

High School Diploma or GED

Jobbeschreibung

Patient Account Representative# Careers## Patient Account RepresentativeApply: All Saints Home Medical: Full time: Posted Today: JR32618**Current Saint Francis Employees - Please click** **HERE** **to login and apply.**Full TimeDaysSchedule- Monday-Friday 8:00am-5:00pmPrevious DME experience preferredJob Summary: Performs any clerical billing responsibility assigned to ensure that patient accounts are processed in a manner that results in prompt and accurate payment. Acts as a liaison between Patient Account Services, physician offices, clinical areas, patients and third party carriers to identify and resolve any issues causing payment delay. Minimum Education: High School Diploma or GED. Licensure, Registration and/or Certification: None. Work Experience: 1 - 2 years relevant experience. Knowledge, Skills and Abilities: Basic healthcare and insurance terminology. High level of timeliness and accuracy. Basic computer knowledge and skills. Ability to navigate insurance websites to access patient, eligibility and payment information. Good communication skills - written and verbal. Understanding of a professional business environment. Basic knowledge of medical billing and insurance follow-up activity. Essential Functions and Responsibilities: According to established protocols monitor, research and update patient accounts to resolve balances and maximize reimbursement. Answers patient, insurance and client calls and responds to correspondence in a time frame that meets or exceeds standards, to ensure resolution of account balances. Acts as liaison between Patient Accounts and physician offices, insurance carriers, clinical areas and other third party payers to assist with document requests, eligibility issues, contractual payment accuracy, and claim submission promptness. Use appropriate guidelines to evaluate and adjust accounts based upon the patient/account status (deceased patient, small balance, charity, etc.). Review past due self-pay balances for assignment to outside collection sources, financial assistance or payment plan opportunities. Monitors daily electronic claims transmission, researches and resolves electronic claim rejections, understands and performs charge corrections, understands the rejection code subsystem and ensures accurate postings of contractual payments and rejection codes. Reviews insurance reimbursement to verify compliance with fee schedules appealing underpayments and denials using correct tools/resources. Reconciles payments received and posted daily with financial accounting. Performs assigned billing, eligibility, and account follow-up activities and related duties as needed or other duties as assigned based on productivity expectations per assignment. Decision Making: Independent judgment in making minor decisions where alternatives are limited and standard policies/protocols have been established. Working Relationships: Works directly with patients and/or customers. Works with internal customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Works with external customers via telephone or face to face interaction. Special Job Dimensions: None.Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.Business Office - All Saints Home MedicalLocation:Tulsa, Oklahoma 74134**EOE Protected Veterans/Disability**