[Hiring] Patient Accounts Representative @Saint Luke's Health System

Role Description

The Patient Account Representative will be responsible for reviewing and auditing billing charges, billing, collection, straightforward coding, and all account receivable activities for the physician clinics within Saint Luke's Health System. Activities include, but are not limited to:

• Entering charge demographics
• Troubleshooting charge related issues raised by clinic staff
• Responding to inbound and outbound billing calls from patients
• Payment posting
• Resolving payment credits
• Identifying and correcting medical claim errors that may prevent payment
• Identifying, correcting, and resubmitting medical claims denied by insurance companies
• Resolving claim edits, working denials and appeals
• Evaluation and coding of ICD, CPT, HCPCS
• Demonstrating competency for invalid diagnosis, modifiers, coding related issues

This position has flex hours, employee works 5 days a week M-F. Employee can choose how to work 8 consecutive hours anytime between 6:00am-5:30pm. This is a telecommuting position, offers career ladder advancement opportunities, and includes a bonus program.

Qualifications

• 2 years applicable experience
• Diploma

Requirements

• Researching patient billing claims to identify and correct coding/claim errors
• Researching patient insurance coverage to identify and resubmit claims to fix coverage denials
• Research and outline documentation needed for respective payor organizations
• Familiarity with NCCI edits, incidentals/inclusive, and bundling rules
• Identifying problem trends
• Communicating with payors for resolution to complications with claims
• Responsible for 277 EDI transactions/rejections
• Working with EDI transactions
• Payment posting corrections/adjustments and ability to distribute payments
• Correcting/entering charges
• Working with multiple teams/departments to resolve issues
• Payment plan or financial assistance coordination

Benefits

• Flexible Schedule - Monday - Friday: 6:00AM - 6:00PM
• Telecommuting position
• Career ladder advancement opportunities
• Bonus program