Patient Accounting Rep II

kansashealthsystem; Lenexa (KS); On-site; USD 45,000 - 60,000; Full time

Job summary

Kansas Health System is seeking a Patient Accounting Representative II at the Southlake Campus. The role focuses on accurate and timely processing of study-related charges, billing to third-party payers, and adherence to CMS guidelines.

You will interact with study teams, CTO, and patients to resolve billing questions with compassion. Responsibilities include applying billing rules, invoicing study services, and following up on balances.

Qualifications

• High School Graduate is required.
• 1+ years of experience in customer service, claims processing, corrections, or billing.

Responsibilities

• Review research related charges and direct charges to the proper payer source.
• Apply billing rules to research related charges billed to third-party payers per CMS guidelines.
• Invoice study billable services to the correct study and apply discounts.
• Assist study teams and CTO with monthly invoices and corrections.
• Follow up with study groups on outstanding balances and billing questions.
• Resolve patient billing questions empathetically and in a timely manner.

Skills

Customer service

Billing

Claims processing

Education

High School Graduate

Associates Degree (preferred)

Tools

Epic

Job description

Position Title

Patient Accounting Rep IISouthlake Campus

Position Summary / Career Interest:

The Patient Accounting Representative II is responsible for functions within assigned Patient Financial Services (PFS) department. Responsible for accurate and timely action on accounts as it relates to specific responsibilities. Complies with governmental and managed care rules and regulations. Meet department goals as well as productivity and quality standards. Attends and actively participates in training and education.

Responsibilities and Essential Job Functions

• Reviews Research related charges, directing charges to the proper responsible financial payer source.
• Applies billing rules to research related charges billable to third-party health insurance payers based on CMS Claims Processing guidelines for Research Services.
• Invoices study billable services to the correct study and applying the standard applicable discount.
• Assists Study teams and the CTO in understanding of monthly invoices, answering questions and making corrections of any identified errors.
• Follows up with Study Groups on outstanding sturdy related billing and balances owed by the study.
• Assists with traditional follow up for Claims handled in the \"normal\" insurance billing/follow-up processes for Standard of Care services billed and followed up by the teams that follow up with insurance when questions arise regarding any impacts of billing related to the patient being in a clinical trial where traditional follow up is unable to remedy the denial.
• Receives and resolves patient billing questions and complaints in a compassionate, courteous, professional and timely manner.
• Takes actions to resolve issues such as changing insurance, re-filing claims, calling insurance companies or answering questions.
• Documents actions taken as directed by department policy.
• Works closely with collection agencies to assure that they receive updated information on accounts.
• Provides input and assists with implementing departmental planning and process improvements.
• Demonstrates the ability to effectively communicate with patients and insurance companies regarding sensitive financial matters.
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

• High School Graduate
• 1 or more years of experience in customer service, claims processing, corrections, or billing.

Preferred Education and Experience

• Associates Degree in a related field of study from an accredited college or university.
• 1 or more years of experience in Epic.

Time Type:

Full time

Job Requisition ID:

R-57556

Important information for you to know as you apply:

• The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion.

• The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link [e-mail].

• Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

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