Senior Patient Account Representative - Pre-Visit Services

OU Medicine; Sarasota (FL); Remote; USD 45,000 - 60,000; Full time

Job summary

A healthcare organization is seeking a billing specialist who will manage patient processing, including scheduling, billing, coding, and collections. The ideal candidate has 1.5 years of experience in medical billing systems and strong communication skills. The position can be performed remotely from specified states. A comprehensive benefits package is included.

Benefits

Comprehensive benefits package

PTO

401(k)

Medical and dental plans

Qualifications

• 1.5 years of experience in Medical Billing or Collections required.
• Proficient with Microsoft Office tools.
• Attention to detail and excellent communication skills.

Responsibilities

• Manage patient scheduling and registration tasks.
• Handle billing, coding, and payment posting activities.
• Assist in resolving collection issues and perform follow-ups.

Skills

Attention to detail

Excellent verbal communication

Excellent written communication

Proficient with Microsoft Office

Tools

IDX billing system

Computerized billing system

Job description

Overview

This position may be performed remotely from the following locations within the United States of America: Arkansas, Kansas, Missouri, Oklahoma, and Texas. Please only apply if you live and work full-time in one of the states listed above or plan to relocate to one of these states before starting your employment with OU Health. State locations and specifics are subject to change as our hiring requirements shift.

General Description

Under general supervision, may participate in any or all aspects of the patient processing and accounts receivable functions of the organization including billing, charge entry, collection, registration, scheduling, follow-up, coding, payment posting and credit balance resolution. May reconcile daily IDX system receivables reports. May balance monthly transactions and provide summaries to faculty and department administration.

Essential Responsibilities

• Patient scheduling


• Patient registration
  
  
  
  • Review patient admitting records and extracts relevant information
  
  
  • Records patient identification and demographic information in the computerized billing system
  
  
  • Contacts agency representatives to verify type and extent of coverage.
  
  
  
  


• Charge entry
  
  
  
  • Performs preliminary review of source documents to determine that sufficient data are present for processing
  
  
  • Using alphanumeric keyboard, transcribes and/or verifies data from source documents to the medium used for entering data into the computer
  
  
  • Batch charges
  
  
  • Generate cash totals
  
  
  • Enter charges
  
  
  • Balances batches by comparing batch proofs to source documents and hash totals
  
  
  
  


• Billing
  
  
  
  • Works with all areas of the organization in getting any necessary or requested documentation for patients, insurance carriers or other areas.
  
  
  • May interact with hospital patient accounting or records personnel to obtain patient demographic or other billing information
  
  
  • Operates hospital information system terminal to obtain patient demographic information, patient insurance information and status of approvals or denials
  
  
  • Completes processing of all inpatient and outpatient documents received on a daily basis
  
  
  • Assists in resolving department problems with IDX billing
  
  
  • Maintains records of charges, payments, third party charges, etc.
  
  
  
  


• Collection
  
  
  
  • Answers patient’s questions regarding statements, agency coverage, etc.
  
  
  • Handles correspondence regarding collection activity and records results
  
  
  • Identify patient accounts for collection action when accounts become delinquent or when unable to contact patient or responsible party
  
  
  • May receive patient payments and/or issue payment receipts
  
  
  
  


• Coding
  
  
  
  • Record CPT codes on billing form
  
  
  • Record ICD-9 codes on billing form
  
  
  
  


• Follow-up
  
  
  
  • Initiates contact with patients and/or third party carriers if there is a delay in responding to statements or claims
  
  
  • May process incoming and outgoing mail
  
  
  • May receive incoming telephone calls and resolve issues communicated
  
  
  • Records results of mail and telephone contacts on the computer billing system
  
  
  • Contacts insurance carriers regarding non-payment and/or improper payment of claims
  
  
  • Reviews denials
  
  
  • Interfaces with patients, physicians, and others regarding professional billing operations and funds
  
  
  
  


• Payment posting
  
  
  
  • Post receipts to proper patient accounts
  
  
  • Posts denials
  
  
  • Compare batch proofs and source documents for accuracy
  
  
  
  


• Reporting
  
  
  
  • Assists in reviewing and balancing IDX transaction reports for administration
  
  
  • Reconciles daily IDX receivables reports
  
  
  • Prepares billing statements from statistical data
  
  
  
  


• Credit balance resolution
  
  
  
  • Review daily billing and accounts receivable credit balance reports
  
  
  • Prepare daily refund check requests
  
  
  • Prepare other daily credit balances other than refunds
  
  
  • Post refund checks to patient accounts
  
  
  • Mail refund checks with supporting documentation
  
  
  
  

General Responsibilities

• Performs other duties as assigned.

Minimum Requirements

Education: None required.

Experience: 1.5 years of experience in Medical Billing, Medical Collections, Medical Billing Systems (IDX or other billing system) required.

Licensure/Certifications/Registrations Required: None required.

Knowledge, Skills, and Abilities:

• Attention to detail


• Excellent verbal and written communication skills


• Proficient with the use of Microsoft Office tools

Current OU Health Employees - Please login.

OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.