Senior Patient Account Representative- TULSA (Healthcare)

Senior Patient Account Representative

Position Information:

Under general supervision, may participate in any or all aspects of the patient processing and accounts receivable functions of the organization including billing, charge entry, collection, registration, scheduling, follow-up, coding, payment posting, and credit balance resolution. May reconcile daily IDX system receivables reports. May balance monthly transactions and provide summaries to faculty and department administration.

Essential Duties:

• Reviews patient admitting records and extracts information. Enters patient identification and demographic information to billing system. Contacts agency representatives to verify type and extent of insurance coverage.
• Reviews source documents to determine if sufficient data is present for processing. Transcribes and/or verifies data from source documents in order to enter to the system. Batches and enters charges and generate cash totals. Balances batches by comparing batch proofs to source documents.
• Acquires information from the organization for the patient, insurance carriers, or other entities. May interact with hospital patient accounting or records to obtain patient demographics or other billing information. Operates hospital information system to obtain demographics, insurance, and status of approvals or denials. Completes inpatient and outpatient documents processing. Assists with resolving problems with IDX billing. Maintains records of charges, payments, and third party charges.
• Answers patient's questions. Handles correspondence regarding collection activity and records results. Identifies patient accounts for collection action. May receive patient payments and/or issue payment receipts. Initiates contact with patient and/or third party carriers if there is a delay in responding to statements or claims.
• Record CPT and ICD-9 codes on billing forms.
• May process incoming/outgoing mail. May receive incoming calls and resolve issues. Records on the computer billing system any results from mail or telephone contact. Contacts insurance carriers regarding non-payment and/or improper payment of claims. Reviews denials. Interfaces with patients, physicians, and others regarding billing operations and funds.
• Posts receipts to proper patient accounts. Posts denials. Compare batch proofs and source documents for accuracy.
• Assists with reviewing and balancing IDX transaction reports. Reconciles daily IDX receivables reports. Prepares billing statements from statistical data.
• Reviews daily billing and accounts receivable credit balance reports. Prepares daily refund check requests. Prepares daily credit balances other than refunds. Posts refund checks to patient accounts and mails refund checks with supporting documentation.
• Performs various duties as needed to successfully fulfill the function of the position.

Qualifications:

Required Education: High School Diploma or GED, AND: 

• 24 months experience in Medical Billing, Medical Collections, and Medical Billing Systems (IDX or other billing system).

Working Conditions: 

• Standard Clinic Environment

Knowledge, Skills & Abilities:

• Knowledge of medical terminology and billing.
• Strong analytical and problem-solving skills.
• Excellent organizational skills.
• Effective communication skills.
• Exceptional customer service skills.
• Detail-oriented.

Why You Belong at the University of Oklahoma: The University of Oklahoma fosters an inclusive culture of respect and civility, belonging, and access, which are essential to our collective pursuit of excellence and our determination to change lives. The unique talents, perspectives, and experiences of our community enrich the learning, and working environment at OU, inspiring us to harness our innovation, creativity, and collaboration for the advancement of people everywhere.

Equal Employment Opportunity Statement: The University of Oklahoma, in compliance with all applicable federal and state laws and regulations, does not discriminate based on race, color, national origin, sex, sexual orientation, genetic information, gender identity, gender expression, age, religion, disability, political beliefs, or status as a veteran in any of its policies, practices, or procedures. This includes, but is not limited to, admissions, employment, financial aid, housing, services in educational programs or activities, and health care services that the University operates or provides.