Patient Accounts Representative

Saint Luke's · Kansas City, MO · 6 days ago

HealthcareFull-time

Research patient billing claims to identify and correct coding/claim errors
Research patient insurance coverage to identify and resubmit claims to fix coverage denials
Outline documentation needed for respective payor organizations to ensure claims are processed correctly
Familiarize with NCCI edits, incidentals/inclusive, and bundling rules
Identify problem trends and communicate with payors for claim resolution
Handle 277 EDI transactions/rejections
Post payment corrections/adjustments and distribute payments
Enter and correct charges
Work with multiple teams/departments to resolve billing issues

Research and identify errors in claims denied by insurance companies
Assess claims to determine appropriate charge adjustments, voids, or escalation to team lead
Write and submit appeal letters to insurance companies
Follow up with insurance companies for no response claims
Coordinate with patients regarding billing code issues
Research refund requests from payor organizations
Preliminary audit of billing code errors before submitting claims to Coding team
Route complex claim denials to team lead or appropriate medical billing team
Identify and address issues that can be resolved through programming software
Act as a subject matter expert on payor policies
Communicate and resolve problems with provider representatives

Collaborative environment with innovative ways to improve patient care
Comprehensive benefits package
Opportunity to work for the premier provider of health services in the Kansas City region
Diverse and inclusive workspace

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