PATIENT ACCOUNT REPRESENTATIVE - Paper Claims

Hiring Department

University Physicians


Job Description

#upjobs
Job Summary:
Work as an in office liaison with all remote staff to insure paper claims are worked accurately, efficiently and submitted in a timely manner. Responsible for Insurance follow-up in accordance with practice protocol, federal, state, and governmental payor guidelines with an emphasis on maximizing timely collections, reduction in AR greater than 90 days, and department collaboration.
Strict adherence to procedure adjustment policies, refund policies and other accounts receivable policies as outlined in the UPPA manual is required.


Essential Functions:
1. Process all paper claims requiring attachments, such as medical records, coding letters, daily.

2. Communicate directly with staff regarding any missing documents or attachments to ensure claims are completed and mailed out daily.


3. Complete pre-billing activities in order to resolve edits and bill claims timely

4. Ability to analyze problems and respond quickly to prevent any delays in mailing claims daily.

5. Proficiency with all facets of multiple medical practice management systems including patient registration and insurance processing.

6. Maintain an organized, efficient, and professional work environment.

7. Adhere to all practice policies related HIPAA and Medicare Compliance.

8. Other duties as assigned.

Shift

Monday through Friday, 8:00am to 5:00pm

Minimum Qualifications

High school diploma or an equivalent combination of education and experience from which comparable knowledge, skills and abilities can be acquired.
Two (2) years of clerical experience; education may be used in lieu of experience.

Preferred Qualifications

Comprehensive understanding of accounts receivable management preferably in a medical office setting.


Knowledge of ICD-9, ICD-10, CPT/HCPCS, modifiers, coding, and documentation guidelines. Experience with Managed Care plans and payer guidelines.

Anticipated Hiring Range

The anticipated hiring range for this position has been established as $16.68 -$26.31/hourly.


Salary is determined by a variety of factors, including but not limited to, the individual's particular combination of education, skills, and experience, as well as organizational requirements.


Your total compensation goes beyond the number on your paycheck. The University of Missouri provides generous leave, health plans, and retirement contributions that add to your bottom line.


Grade: PAT-005
University Title: PATIENT ACCT REP, NON-CLINICAL
To review the University of Missouri's Staff Compensation Structure you can view the Job Code detail page. Internal applicants can determine their university title by accessing the Talent Profile tile in myHR.

Application Materials

In addition to the online application, please provide a resume and cover letter.

Benefit Eligibility

This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, short- and long-term disability, paid parental leave, paid caregiver leave, and educational fee discounts for all four UM System campuses. For additional information on University benefits, please visit the Faculty & Staff Benefits website at .


Equal Employment Opportunity

The University of Missouri is an Equal Opportunity Employer .


To request ADA accommodations, please call the Director of Accessibility and ADA at View phone number on click.appcast.io.