PATIENT ACCOUNTING REP I

Position Summary / Career Interest

Responsible for accurate and timely action on accounts as it relates to specific responsibilities. Meet department goals as well as productivity and quality standards. Attends and actively participates in training and education.

Responsibilities

• Posts payments, refunds and adjustments to accounts within designated time frame.
• Completes assigned work queue within designated time frame.
• Balances receipts, reconciles daily batches and prepares audit trail in accordance to department guidelines.
• Reviews Explanation of Benefit’s for incorrect and or inconsistencies in reimbursement.
• Identifies consistent fee schedule allowable differences and communicates up line for updating.
• Communicates payer trends to management.
• Follows up with insurance companies on denials and insurance inquiries as necessary to resolve the account.
• Provides additional information or documentation as needed to resolve account.
• Notes actions taken on the accounts and verifies and updates insurance as directed by department policy.
• Completes assigned work queue within designated time frame.
• Processes adjustments on accounts as necessary in compliance with department policy.
• Enrolls, validates and re-validates practitioners’ information with government and commercial payers.
• Updates databases, monitors Medicare, Medicare and Commercial payer websites for revalidation notices and communicates provider changes to contracted health plans and departments utilizing standardized reports.
• Affords assistance with processing applications in accordance to organization's policy, procedures and health plan requirements.
• Audits provider data to assure accuracy as assigned.
• Communicates roster changes from physician groups.
• Review department specific Epic Charge work queues, make corrections and follow up with departments as needed.
• Review daily Epic charge router reconciliation report make sure all charges are filed and interfaced.
• Affords assistance with charge error corrections including duplicate, missing or rejected charges.
• Analyzes revenue trending reports and escalates problems to manager and departments as appropriate.

Skills and duties

These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities.

Required Education And Experience

• High School Graduate or GED.
• 1 or more years of experience in Epic.

Preferred Education And Experience

Preferred Education And Experience: 1 or more years of experience in Epic.

Important Information For You To Know

• The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status.
• We provide reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu.
• The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu.
• Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

Need help finding the right job?

We can recommend jobs specifically for you! Create a custom Job Alert by selecting criteria that suit your career interests.