Patient Accounting Representative, PBO Follow Up

Job Description

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.

As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.

UC Health is committed to providing an inclusive, equitable and diverse place of employment.

The Patient Accounting Representative bills claims electronically, check for unpaid claim status, post cash, pursue self pay cash collections, scan documents, request medical records and/or provide customer service.

Responsibilities

Knowledge Required:

• Understanding of Healthcare Revenue Cycle
• Understanding of the CMS-1500 claim form and required components
• Understanding of basic coding requirements of the CMS-1500 claim form.
• Understanding of Basic Payer adjudication procedures & Coordination of Benefits
• Ability to read and understand the Insurance Explanation of Benefits
• Understand common Billing / Insurance acronyms

Skills Required :

• Possess the ability to self-manage in a work from home environment using excellent communication and organizational skills. Ability to manage daily schedule & accurately report time and attendance.
• Ability to prioritize and coordinate workload with a high degree of proficiency and accuracy.
• Must have excellent analytical and problem-solving skills; possessing good judgement skills and capable of making independent decisions in accord with policy and procedure.
• Ability to reference and apply workflow or other guidance to daily work.
• Able to effectively respond to constantly changing Payer rules with ability to work well under pressure in a flexible, diplomatic and expeditious manner.
• Ability to work professionally and cooperatively with peers and other departments by phone or electronic media. Must incorporate acceptable email and phone etiquette.
• Must be accurate with attention to detail; documenting issue research and actions thoroughly in an abbreviated and comprehensive manner.
• Willingness to learn new process and adjust common work practices when necessary.

Qualifications

Minimum: 6 months experience in Medical claim follow up.

Or resolving credit balances

Or performing electronic or manual cash posting.

Basic skill with MS Office applications, such as Excel, Print to PDF, Outlook and Fax from mail.

Preferred: 12 months experience in Medical claim follow up.

Familiar with EPIC Resolute billing system, Claim Clearinghouse and Payer Websites (I.e., Waystar, Availity)