Patient Accounting Representative II, Full Time, First Shift

About the Role

Join our team at UC Health, the region's adult academic health system, where we advance healing and reduce suffering through innovation and world-class care. As part of our Revenue Cycle team, you'll collaborate with clinicians and peers to ensure prompt payment of payer and patient accounts while developing your skills and growing your career.

Responsibilities

• Communicate directly with payers to follow up on outstanding claims and achieve timely reimbursement, including obtaining claim status, submitting reconsiderations, or submitting appeals.
• Monitor and review denial reason codes to identify root causes; collaborate with payer contracting, other revenue cycle areas, and payer representatives to resolve issues.
• Analyze data to track collection efforts, identify trends, and provide the team with updates and improvement ideas.
• Monitor payer files for accuracy, ensure payer documentation is completed by follow-up staff, and assist in updating files with pertinent information.
• Assist other follow-up staff in identifying high-risk accounts and prioritizing follow-up efforts.
• Resolve accounts from other staff members’ workloads to prevent backlogs and fill in for absent staff as needed.
• Maintain a superior understanding of claims management, third-party payer guidelines, state and federal regulations, and all other job functions; educate and train other follow-up staff as needed.
• Ensure compliance with HIPAA guidelines and maintain confidentiality when handling patient information.
• Work independently to resolve claims issues.
• Participate in continuous quality improvement efforts, establishing goals with supervisors and tracking progress.
• Offer suggestions to improve individual and team productivity.
• Maintain a quality review score of 90% or greater on department quality reviews.
• Assist supervisors in identifying departmental areas needing improvement.
• Attend 1 or more UC Health training and development courses per year for self-development.
• Maintain 100% or greater weekly productivity scoring and take responsibility for individual productivity standards.
• Perform other duties as assigned.

Requirements

• Minimum Required: High School Diploma or GED.
• Preferred: Associate degree.
• Minimum Required: 3–5 years of relevant experience in Revenue Cycle and/or Epic Revenue Cycle applications.

Location

Cincinnati, OH, United States