Patient Accounting Rep II

The University of Kansas Health System; United States; On-site; USD 42,000 - 58,000; Full time

Job summary

The University of Kansas Health System is seeking a Patient Accounting Representative II for the Southlake Campus to manage assigned billing tasks and ensure accurate, timely actions on patient accounts. You will collaborate with study teams and CT0, handle questions from patients and insurers, and help improve departmental processes.

Qualifications include a High School Diploma and 1+ years in billing or customer service; Associates degree preferred and Epic experience is a plus.

Qualifications

• Handle patient billing questions and issues with empathy and professionalism.
• Review and research charges and bill to appropriate payer sources per CMS guidelines for Research Services.
• Follow up with study groups on invoicing and balances.

Responsibilities

• Review charges and apply billing rules for study-related services.
• Invoice study services to the correct study and payer sources.
• Assist with follow-up on insurance claims and patient inquiries in a timely manner.

Skills

Customer service

Billing

Education

High School Diploma

Associates Degree

Tools

Epic

Job description

Position

Patient Accounting Rep II Southlake 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.

Job Type

Full time

Location

Southlake Campus

Equal Employment Opportunity Statement

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.

Employment Contingency

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.

About The University of Kansas Health System

As part of the region’s premier academic medical center, The University of Kansas Health System in Kansas City is a world-class healthcare provider and destination for complex care and diagnosis. We are driven by our commitment to service, continuous improvement and to the highest degree of excellence. Collaboration between physicians, nurses, researchers, educators and other professionals who share their expertise leads to exciting discoveries and life-changing treatments for the people we serve.