Patient Accounts Representative SLPG Saint Luke's Health System

• 3.

5 Kansas City, MO Job Details Part-time 5 hours ago Benefits Work from home Flexible schedule Qualifications Appeals National Correct Coding Initiative (NCCI) guidelines Accounts receivable management Account maintenance Patient demographics Research Refund processing Financial issue resolution Managing client accounts Medical billing and coding communication with insurance companies Medical insurance appeals management Medical claims submission Medical billing account reconciliation Insurance provider collaboration Insurance claims appeal handling Medical claim status updates Entry level

Full Job Description Job Description Location:

This position is a work from home position, candidate must be located in

Kansas or Missouri Schedule:

Flexible Schedule

• Monday

• Friday:

  6:00AM
• 6:00PM 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. Claim Processing Responsible for researching patient billing claims to correct claim errors Understand respective payor requirements so claims are processed correctly Familiar with

NCCI / NCD / LCD

edits, incidentals/inclusive, and bundling rules, etc. Work with multiple teams/departments to resolve issues Hand billing of specialty care which may include residential care, transplant and research Insurance Denials Responsible for researching, identifying errors, and correcting claims denied by insurance companies. Responsible for writing appeal letters to insurance companies Research refund request from payor organizations Responsible for preliminary audit of billing code errors before claim resubmitted from denial Responsible for becoming a subject matter expert on the payor policies Payment posting corrections/adjustments and ability to distribute payments Insurance Follow-Up Responsible for following up with insurance companies for unpaid claims Responsible for communicating and resolving problems with the provider representatives when applicable Payment posting corrections/adjustments and ability to distribute payments Responsible for researching patient insurance coverage to identify and resubmit claims to fix coverage claim rejection/no pays Client Accounts Responsible for reviewing all accounts at the beginning of the month to make sure they are ready for statements. Work with clients on any billing questions they have Client refunds.

Job Requirements Applicable Experience:

1 year Job Details PRN Day (United States of America)