Patient Account Representative Lead - Pre-Visit Services/Authorizations

Position Title:

Patient Account Representative Lead -

Pre-Visit Services/Authorizations Department:

Pre-visit Services Job Description:

New to OU Health? Ask your recruiter about our competitive wages and total rewards package.

Remote Eligibility:

Candidates must reside and work full-time in OK before their first day of employment.

SHIFT:

M-F, Days. Will be required on-site as needed, at least monthly. •The ideal candidate will have leadership experience, as they will be the subject-matter-expert for their small team when it comes to processing authorizations and referrals. Minimum of 3 years in authorizations is preferred.•

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 forms Record ICD-9 codes on billing forms 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 Personnel Supervision . Leads and trains employees.

General Responsibilities:

Performs other duties as assigned.

Minimum Requirements:

Education:

High School Diploma or GED.

Experience:

At least 5 years of experience in Medical Billing, Medical Collections, Medical Billing Systems (IDX or other billing system) required.

Licensure/Registrations/Certifications Required:

None required.

Knowledge, Skills & Abilities:

Proven ability to manage a team of professionals and lead a departmental function Excellent verbal and written communication skills Proficient with the use of Microsoft Office tools #cb Current OU Health Employees - Please click [Link available when viewing the job] to 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.