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Patient Accounts Representative

Saint Luke's Hospital of Kansas City Transplant Clinic–Wichita

  • # Patient Accounts RepresentativeApply: System Offices | 901 E 104 St | Kansas City | MO: Full time: Posted Today: JobReq0060509# **Job Description**Location: This position is a work from home positionSchedule: Flexible Schedule - Monday - Friday: 6:00AM - 6:00PMClaim 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 asses 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 programing 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**Candidate must live in or around the Kansas City metropolitan area.**# **Job Requirements**Applicable Experience:2 yearsDiploma# **Job Details**Full TimeDay (United States of America)
  • J-18808-Ljbffr Saint Luke's Health System

Vacancy posted 5 days ago
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