Senior Patient Account Rep - PB EDI Specialist at OU Health

, Missouri, United States -

Full Time

Start Date

Immediate

Expiry Date

25 Jul, 26

Salary

0.0

Posted On

26 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical billing, Medical collections, EDI, Clearinghouse, Experian, Claim submission, Claim rejection, IDX system, CPT coding, ICD-9 coding, Patient registration, Charge entry, Payment posting, Credit balance resolution, Microsoft Office

Industry

Hospitals and Health Care

Description

Position Title: Senior Patient Account Rep - PB EDI Specialist Department: Revenue Integrity Job Description: Ask your recruiter about our competitive wages and total rewards package Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment . Senior Patient Account Rep - Physician Billing (PB) Electronic Data Interchange (EDI) Clearinghouse Specialist SHIFT: M-F, 8a-5p (some flexibility may be available) ***Ideal candidate will have experience with Experian and electronic claim submission/rejection.**** 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: High School Diploma or GED. Experience: 3-5 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 #cb Current OU Health Employees - Please click HERE 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. OU Health is the state’s only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma’s largest doctor network with a complete range of specialty care. OU Health serves Oklahoma and the region with the state’s only freestanding children’s hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center, Oklahoma’s flagship hospital, which serves as the state’s only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community. Becker’s Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020. OU Health’s oncology program at OU Health Stephenson Cancer Center was named Oklahoma’s top facility for cancer care by U.S. News & World Report in its 2020-21 rankings. OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure. OU Health’s mission is to lead healthcare in patient care, education and research. Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals. We are seeking individuals who have a passion and talent for caring for others. By joining our team, you will provide quality health care to our community through the work you do every day. We provide clinical and non-clinical opportunities to further your career and we invite you to explore our available positions. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training. Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities.

Responsibilities

The role involves managing patient accounts, including billing, charge entry, collections, and payment posting within the revenue integrity department. The specialist will also handle EDI clearinghouse functions, reconcile receivables, and resolve credit balances.