Patient Account Representative Lead - Pre-Visit Services/Authorizations

OU Medicine, Inc.

Edmond, OK

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JOB DETAILS

JOB TYPE

Full-time

SKILLS

Accounts Receivable, Accounts Receivable Processing, Billing, Compensation and Benefits, Current Procedural Terminology (CPT), Data Entry, Demographics, Documentation, Faculty Administration, High School Diploma, Hospital, Hospital Systems, ICD-9, IDX, Information Technology & Information Systems, Insurance, Keyboards, Leadership, Medical Billing, Medical Records, Microsoft Office, Outpatient Care, Past Due Accounts, Patient Admissions, Patient Assessment, Patient Care, Payment Posting, Presentation/Verbal Skills, Problem Solving Skills, Staff Training, Team Lead/Manager

LOCATION

Edmond, OK

POSTED

2 days ago

Position Title:Patient Account Representative Lead - Pre-Visit Services/AuthorizationsDepartment:Pre-visit ServicesJob Description:New to OU Health? Ask your recruiter about our competitive wages and total rewards package. Remote Eligibility: Candidates must reside and work full-time in OK before their first day of employment. SHIFT: M-F, Days. Will be required on-site as needed, at least monthly. **The ideal candidate will have leadership experience, as they will be the subject-matter-expert for their small team when it comes to processing authorizations and referrals. Minimum of 3 years in authorizations is preferred.** General Description: 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 Responsibilities: Patient schedulingPatient registrationReview patient admitting records and extracts relevant informationRecords patient identification and demographic information in the computerized billing systemContacts agency representatives to verify type and extent of coverage.Charge entryPerforms preliminary review of source documents to determine that sufficient data are present for processingUsing alphanumeric keyboard, transcribes and/or verifies data from source documents to the medium used for entering data into the computerBatch chargesGenerate cash totalsEnter chargesBalances batches by comparing batch proofs to source documents and hash totalsBillingWorks with all areas of the organization in getting any necessary or requested documentation for patients, insurance carriers or other areas.May interact with hospital patient accounting or records personnel to obtain patient demographic or other billing informationOperates hospital information system terminal to obtain patient demographic information, patient insurance information and status of approvals or denialsCompletes processing of all inpatient and outpatient documents received on a daily basisAssists in resolving department problems with IDX billingMaintains records of charges, payments, third party charges, etc.CollectionAnswers patient’s questions regarding statements, agency coverage, etc.Handles correspondence regarding collection activity and records resultsIdentify patient accounts for collection action when accounts become delinquent or when unable to contact patient or responsible partyMay receive patient payments and/or issue payment receiptsCodingRecord CPT codes on billing formsRecord ICD-9 codes on billing formsFollow-upInitiates contact with patients and/or third party carriers if there is a delay in responding to statements or claimsMay process incoming and outgoing mailMay receive incoming telephone calls and resolve issues communicatedRecords results of mail and telephone contacts on the computer billing systemContacts insurance carriers regarding non-payment and/or improper payment of claimsReviews denialsInterfaces with patients, physicians, and others regarding professional billing operations and fundsPayment postingPost receipts to proper patient accountsPosts denialsCompare batch proofs and source documents for accuracyReportingAssists in reviewing and balancing IDX transaction reports for administrationReconciles daily IDX receivables reportsPrepares billing statements from statistical dataCredit balance resolutionReview daily billing and accounts receivable credit balance reportsPrepare daily refund check requestsPrepare other daily credit balances other than refundsPost refund checks to patient accountsMail refund checks with supporting documentationPersonnel Supervision. Leads and trains employees. General Responsibilities:Performs other duties as assigned. Minimum Requirements:Education: High School Diploma or GED.Experience: At least 5 years of experience in Medical Billing, Medical Collections, Medical Billing Systems (IDX or other billing system) required.Licensure/Registrations/Certifications Required: None required. Knowledge, Skills & Abilities:Proven ability to manage a team of professionals and lead a departmental functionExcellent verbal and written communication skillsProficient with the use of Microsoft Office tools#cbCurrent OU Health Employees - Please click HERE to login.OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.

About the Company

OU Medicine, Inc.

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