Patient Account Representative

All Saints Home Medical, L.L.C.; United States; On-site; USD 42,000 - 52,000; Full time

Job summary

All Saints Home Medical, L.L.C. is seeking a Billing/Accounts role for a full-time daytime schedule.

Previous DME experience is preferred, with a requirement of a high school diploma or GED and 1–2 years of relevant experience. Responsibilities include monitoring and updating patient accounts, handling calls from patients and insurers, coordinating with physicians and third parties, and ensuring accurate claim submissions and timely reimbursements.

Qualifications

• High School Diploma or GED required.
• 1–2 years of relevant experience preferred.
• Basic knowledge of medical billing and insurance follow-up activity.

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.

Skills

Healthcare terminology

Timeliness & accuracy

Computer skills

Insurance portals navigation

Written & verbal communication

Professional environment

Medical billing knowledge

Education

High School Diploma or GED

Job description

Job Summary:

Full Time Days Schedule- Monday-Friday 8:00am-5:00pm

Previous DME experience preferred

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.