Patient Accounting Representative II, PBO Follow Up, Full Time

UC Health (Cincinnati); Cincinnati (OH); Presencial; USD 42.000 - 66.000; Jornada completa

Descripción de la vacante

UC Health (Cincinnati) is seeking a Patient Accounting Representative II for PBO follow-up in a full-time capacity. You will manage revenue cycle accounts receivable and collaborate with departments and third parties to accelerate payer and patient collections.

Responsibilities include payer communications, denial analysis, data-driven tracking, and ensuring accurate payer documentation. You will support colleagues, maintain HIPAA standards, and contribute to quality improvements within the team.

Formación

• High School Diploma or GED is required.
• An associate degree is preferred.
• 3–5 years of revenue cycle and/or Epic Revenue Cycle applications experience preferred.

Responsabilidades

• Communicates with payers to follow up on outstanding claims for timely reimbursement.
• Monitors denial reason codes and works with payer staff to resolve issues.
• Analyzes data to track collection efforts, identify trends, and provide updates to the team.
• Ensures payer documentation is completed and updated in files as needed.
• Assists other follow-up staff in prioritizing high‑risk accounts.
• Maintains HIPAA compliance and trains staff as needed.
• Works independently to resolve claims issues.
• Participates in continuous quality improvement and tracks progress.

Educación

High School Diploma or GED

Associate degree

3-5 years Revenue Cycle/Epic experience

Descripción del empleo

Patient Accounting Representative II, PBO Follow Up, Full Time

Managing Revenue Cycle accounts receivable, following standard Operating Departmental Procedures to ensure prompt payment of payer and patient payments. Responsible for collaborating with other departments, or third parties, to drive payer and patient collections.

Revenue Cycle Functions:

• Communicates directly with payers to follow up on outstanding claims and achieve timely reimbursement. This may include obtaining claim status, submitting reconsiderations, or submitting appeals.
• Monitors and reviews denial reason codes to identify root causes; works with payer contracting, other areas of the revenue cycle, and payer representatives, if necessary to resolve issues
• Analyzes data to track collection efforts, identify trends, and provide team with updates and ideas for improvement
• Monitors payer files for accuracy, ensures payer documentation is completed by follow-up staff, and assists in updating files with pertinent information as necessary
• Assists other follow-up staff in identifying high-risk accounts and prioritizing follow-up efforts
• Helps to work and resolve accounts from other staff members' workloads to prevent backlogs and fills in as needed for absent staff
• Maintains superior understanding of claims management, third-party payer guidelines, state and federal regulations, and all other functions of the job; educates and trains other follow-up staff as needed
• Maintains compliance with HIPAA guidelines and ensures staff maintain discrepancy when handling patient information
• Works independently to resolve claims issues
• Participates in continuous quality improvement efforts on an ongoing basis, establishing goals with supervisors and tracking progress
• Offers suggestions to improve individual and team productivity
• Maintains a quality review score of 90% or greater on department quality reviews
• Assists supervisor with identifying departmental areas in need of improvements

Self-Development:

• Attends 1 or more UC Health training and development courses per year
• Other duties as assigned

Productivity:

• Maintains 100% or greater each week on department productivity scoring and takes responsibility for individual productivity standards
• Other duties as assigned

Quality

Other duties as assigned

Education

• Minimum Required: High School Diploma or GED.
• Preferred: Associate degree.

Experience

• Minimum Required: 3 - 5 years of relevant experience in Revenue Cycle and/or Epic Revenue Cycle applications.

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.

As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.

UC Health is committed to providing an inclusive, equitable and diverse place of employment.