Patient Accounts Billing Specialist

Saint Luke's; Kansas City (MO); On-site; USD 42,000 - 60,000; Full time

Job summary

Saint Luke's Health System is seeking a Patient Account Representative to review and audit billing charges, posting payments and resolving claim edits for physician clinics within the system.

Responsibilities include researching claim errors, resubmitting denials, coordinating with payors, and supporting coding activities. Preferred certification in Billing or Coding. Full-time, on-site in Kansas City, MO.

Qualifications

• 1 year of applicable experience in medical billing or accounts receivable.
• Experience researching and correcting coding/claim errors.
• Able to work with payors and resolve denials and appeals.

Responsibilities

• Research patient billing claims to correct coding/claim errors.
• Research insurance coverage to identify and resubmit claims to fix coverage denials.
• Outline documentation needed for payor organizations so that claims are processed correctly.
• Familiarity with NCCI edits, incidentals/inclusive, and bundling rules.
• Identify problem trends and communicate with payors for resolution.
• Responsible for 277 EDI transactions/rejections.
• Work with EDI transactions and payment postings/adjustments.
• Correct/enter charges and distribute payments.
• Coordinate work with multiple teams to resolve issues.
• Coordinate payment plans or financial assistance when needed.

Skills

1 year experience in medical billing

Strong communication with payors

Attention to detail

Education

Billing or Coding Certifications (preferred)

Tools

EDI transactions systems

NCCI edits knowledge

Job description

Saint Luke's Health System is seeking a Patient Account Representative to review and audit billing charges, posting payments and resolving claim edits for physician clinics within the system.

Responsibilities include researching claim errors, resubmitting denials, coordinating with payors, and supporting coding activities. Preferred certification in Billing or Coding. Full-time, on-site in Kansas City, MO.