Patient Accounts Representative

Saint Luke's Health System

Patient Accounts Representative

Saint Luke's in Kansas City is seeking a Patient Accounts Representative to join our team. This role will give you the opportunity to perform billing claim edits and insurance follow up.

Schedule: Flexible Schedule - Monday - Friday: 6:00AM - 6:00PM

Claim Edits

Responsible for researching patient billing claims to identify and correct coding/claim errors
Responsible for researching patient insurance coverage to identify and resubmit claims to fix coverage denials.
Research and outline documentation needed for respective payor organizations so that claims are processed correctly
Familiarity with NCCI edits, incidentals/inclusive, and bundling rules, etc.
Identify problem trends
Communicate 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
Correct/enter charges
Work with multiple teams/departments to resolve issues
Payment plan or financial assistance coordination

Insurance Denials and Follow-Up

Responsible for researching, identifying errors, and correcting claims denied by insurance companies.
Must be able to assess claim to determine when appropriate to make charge adjustments, void a charge, or escalate to the team lead and/or another medical billing team.
Responsible for writing appeal letters to insurance companies
Responsible for following up with insurance companies for no response claims.
Responsible for working with patient calls escalated from the Customer Service team regarding involving billing code issues.
Research refund request from payor organizations
Responsible for preliminary audit of billing code errors before claim submitted to the Coding team.
Responsible for routing complex claim denial to team lead and/or the appropriate medical billing team.
Responsible for identifying issues which can be resolved by programming software to prevent denials.
Responsible for becoming a subject matter expert on the payor policies.
Responsible for communicating and resolving problems with the provider representatives
Responsible for simple level coding, including diagnosis review, modifier applications, some CPT cod changes following process documents and payor policies

Why Saint Luke's?

We believe in creating a collaborative environment, while looking for innovative ways to improve. We offer competitive salaries and benefits packages to all eligible employees:

Medical health plans
Tuition reimbursement
Leave of Absence, PTO, and various Welfare plans
Retirement contributions
Employee Assistance Program

Candidate must live in or around the Kansas City metropolitan area.

Job Requirements

1 year

Job Details

Full Time Day (United States of America)

The best place to get care. The best place to give care. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

Apply

Vacancy posted 11 hours ago

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