Patient Registration Edits Representative Senior

BBSS Beyond Blue; Lexington (KY); Sur place; USD 21 000 - 30 000; Temps partiel

Résumé du poste

Beyond Blue Corporation invites applications for a Senior Patient Registration Edits Representative. This PRN, part-time role ensures accuracy and completeness of patient registration and billing data after clinical encounters, reviewing and submitting claims to support timely reimbursement.

You will collaborate with patients, payers, and internal teams to collect missing information, resolve data errors, and reduce denials, focusing on process improvements while complying with policies and

Qualifications

• High school diploma or equivalent.
• 3–5 years of experience in patient access, registration, billing, or revenue cycle operations.
• An equivalent combination of education and experience may be considered.
• All experience must be paid and in the same related field.
• Part-time and PRN experience will be prorated based on hours worked per week.
• Volunteer work and internships for academic credit are not counted.

Responsabilités

• Maintains a queue or worklist of accounts flagged for registration or billing follow-up.
• Reviews and corrects claims and charge errors rejected, denied, or suspended due to registration or data issues.
• Contacts patients to collect or clarify workers’ compensation, accident, or insurance details including claim numbers, employer, or authorization information.
• Documents communications, tracks responses, and updates patient account records with accuracy.
• Coordinates with employers, insurance carriers, attorneys, or adjusters to obtain required documentation.
• Verifies and obtains subrogation or third-party liability information to support accurate billing.
• Achieves departmental KPIs for claim resolution, registration completeness, denial reduction, and accounts receivable performance.
• Collaborates with registration, billing, clinical, coding, and customer service teams to ensure seamless information flow.
• Provides feedback to frontline registration staff to reduce recurring data entry errors.
• Participates in process improvement initiatives to enhance registration and billing accuracy.
• Performs other duties as assigned.

Connaissances

Experience in patient access

Formation

High school diploma or equivalent

Description du poste

Beyond Blue Job Posting Title: Patient Registration Edits Representative Senior

• Requisition Number: R-000005297
• Department Name: Edits
• Work Location: 2317 Alumni Park Plaza
• Grade Level: 3
• Type of Position: PRN Position Time Status: Part time
• Equivalency Link: https://hr.uky.edu/employment/working-uk/equivalencies
• Shift: Flex (United States of America)

Job Summary

Responsible for ensuring accuracy and completeness of patient registration and billing data after the clinical encounter. Provides expertise in reviewing, correcting, and submitting claims to support timely and accurate reimbursement. Coordinates with patients, payers, and internal departments to collect missing information, resolve data errors, and reduce denials. Contributes to process improvements, mentors staff and supports revenue cycle performance by maintaining compliance with organizational policies and regulatory standards.

Essential Functions

• Maintains a queue or worklist of accounts flagged for registration or billing follow-up.
• Reviews and corrects claims and charge errors rejected, denied, or suspended due to registration or data issues.
• Contacts patients to collect or clarify workers’ compensation, accident, or insurance details including claim numbers, employer, or authorization information.
• Documents communications, tracks responses, and updates patient account records with accuracy.
• Coordinates with employers, insurance carriers, attorneys, or adjusters to obtain required documentation.
• Verifies and obtains subrogation or third-party liability information to support accurate billing.
• Achieves departmental KPIs for claim resolution, registration completeness, denial reduction, and accounts receivable performance.
• Collaborates with registration, billing, clinical, coding, and customer service teams to ensure seamless information flow.
• Provides feedback to frontline registration staff to reduce recurring data entry errors.
• Participates in process improvement initiatives to enhance registration and billing accuracy.
• Performs other duties as assigned.

Education Requirement

High school diploma or equivalent

Experience Requirement

3–5 years of experience in patient access, registration, billing, or revenue cycle operations

An equivalent combination of education and experience may be considered.

All experience must be paid and in the same related field.

Part-time and PRN experience will be prorated based on hours worked per week.

Volunteer work and internships for academic credit are not counted.

Certifications & Licensures

N/A

Working Conditions

• A. Lifting, pushing, and/or pulling objects up to 50lbs: 1. Never
• B. Lifting, pushing, and/or pulling objects over 50lbs: 1. Never.
• C. Standing or walking with objects up to 10lbs: 3. Intermittent (10%–50%).
• D. Standing or walking with objects up to 25lbs: 1. Never to 2. Occasional (not a regular expectation).
• E. Sitting at computer workstation for extended periods: 4. Regular (> 50% of the time).
• F. Risk of back injury from moving, lifting, or positioning patients, equipment, or materials: 1. Never.
• G. Repetitive motion: 4. Regular (> 50% of the time) (typing, data entry, scanning).
• H. Working at heights above 4 feet: 1. Never.
• I. Working in confined spaces: 1. Never.
• J. Risk of injuries from use of equipment on the job: 1. Rare.
• K. Job-related travel: 1. Never to 2. Occasional.
• L. Loud noises: 2. Occasional (< 10% of the time).
• M. Temperature extremes: 1. Never.
• N. Hazardous chemicals and fumes including waste: 1. Never
• O. Radiation: 2. Occasional (< 10% of the time).
• P. Burns: 1. Never.
• Q. Cuts/Punctures: 1. Never to 2. Occasional
• R. Bloodborne/airborne pathogens: 1. Never.
• S. Recombinant DNA or viral vectors: 1. Never.
• T. Combative/violent people: 1. Never
• U. Animal handling (including carcasses): 1. Never.
• V. Please specify others: N/A

Physical Demands

This position requires regular sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasional standing or walking with objects weighing up to 25 pounds; and occasional lifting, pushing, or pulling objects weighing up to 50 pounds.

Our University Community

We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors, the University of Kentucky is a Tobacco & Drug Free campus. The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status. Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen. Purpose-driven work is behind every aspect of our mission to advance Kentucky – from its economy to its health and from its culture to its levels of educational attainment. We're looking for talented, dedicated individuals to help us support this vital mission and make a difference in the lives of Kentuckians and beyond. Join us as we build a future grounded in service, collaboration and excellence, one where your talents help move our Commonwealth forward. Beyond Blue Corporation, an affiliated entity of the University of Kentucky, is a strategic vehicle to support the university's growth. Beyond Blue is a nonprofit company that allows the university to abide by all public entity rules and laws while allowing leaders to have some separation and distinctiveness to focus on one core business. Beyond Blue Board of Trustees appoints the Beyond Blue Board of Directors and the directors of any of its subsidiary companies.