Patient Account Representative

Saint Francis Health System; Tulsa (OK); On-site; USD 30,000 - 45,000; Full time

Job summary

All Saints Home Medical is recruiting for a Full-time Billing Specialist. Schedule: Days, Monday–Friday, 8:00am–5:00pm, Tulsa, OK. Previous DME billing experience preferred.

You will perform clerical billing tasks to ensure prompt and accurate payment and act as liaison among Patient Accounts, physician offices, and insurers. Requires a High School Diploma or GED and 1–2 years of relevant experience. Strong communication skills and basic computer knowledge are essential to access patient and

Qualifications

• High school diploma or GED required.
• 1–2 years relevant experience in billing.
• Basic healthcare/insurance terminology knowledge.
• Ability to navigate insurance websites.
• Strong written and verbal communication.
• Attention to timeliness and accuracy.

Responsibilities

• Monitor and update patient accounts to maximize reimbursement.
• Answer calls and correspondences to resolve balances.
• Coordinate with patients, physician offices, and insurers.
• Review past-due balances for collection or payment plans.
• Reconcile daily postings and verify payments.

Education

High School Diploma or GED

Tools

Insurance portals

Job description

All Saints Home Medical

Full time

JR32618

Current Saint Francis Employees - Please click HERE (https://wd115.myworkday.com/saintfrancis/d/task/2998$46522.htmld) to login and apply.

Full Time

Days

Schedule- Monday-Friday 8:00am-5:00pm

Previous DME experience preferred

Job 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 Medical

Location:

Tulsa, Oklahoma 74134

EOE Protected Veterans/Disability

Saint Francis is a Catholic, not-for-profit Health system based in Tulsa, Oklahoma. We are the largest private employer in Eastern Oklahoma with over 12,000 employees, including 1,000 physicians. The health system is anchored by the 1,112-bed Saint Francis Hospital, the largest hospital in Oklahoma and the 11th largest in the nation. Our system also includes hospitals in south Tulsa, Muskogee and Vinita, as well as 110 Warren Clinic locations from Monkey Island to McAlester, northeastern Oklahoma's only children's hospital, a level IV neonatal intensive care unit, a 168-bed heart hospital, and Tulsa's leading trauma and emergency center.