Patient Accounts Representative

Job Description

Patient Accounts Representative is responsible for reviewing, billing, collection, and accounts receivable activities for the hospital (and in some cases the physician) billing departments within Saint Luke's Health System. Activities include, but are not limited to, entering demographics, troubleshooting issues, responding to inbound and outbound billing calls from patients, payment posting, resolving credits, identifying, and correcting medical claim errors that may prevent payment and identifying, correcting, and resubmitting medical claims denied by insurance companies.

Resolving claim edits, working denials and appeals. Patient Account Representative may be responsible for any or all the following duties, including duties not otherwise assigned.

Patient Balance Team

Review and process financial assistance applications, complete follow-up with patients for missing documents, complete presumptive eligibility run when applicable and post adjustments once approved

Review past due accounts to determine eligibility of placement with collection agency

Review patient credit balances to determine eligibility of patient refund

Resolve balances for deceased patients via surviving spouse update, estate searches and the filing of estate claims

Process notices from bankruptcy court and take appropriate actions on accounts so patients are not billed inappropriately

Process return mail, update address and follow-up levels as applicable

Process attorney ROI billing requests

In SBO will also:

Meet department productivity and quality metric

Identify opportunities and report trends to improve patient satisfaction and workflow efficiencies by identifying reasons for patient calls that could have been prevented by education up stream in the process or practice management programming solutions. Examples of this would be educating patients on financial policies, financial expectations of services rendered, correct coding, explanation of coverage, collecting payments when scheduling, system enhancements to identify the correct insurance at registration, correct payment posting, medical necessity warnings.

Job Requirements

Applicable Experience:

1 year

Diploma

Job Details

Full Time

Day (United States of America)

The best place to get care. The best place to give care.

Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.