Senior Patient Account Rep Dean McGee Eye Institute - Oklahoma Health Center

Position: Senior Patient Account Rep. - Dean McGee Eye Institute - Oklahoma Health Center
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* Position Title:

** Senior Patient Account Rep.

- Dean McGee Eye Institute - Oklahoma Health Center##
** Department:
** Revenue Integrity##
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* Job Description:

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* 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.
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* Essential Responsibilities:

*** Patient scheduling
* Patient registration  + Review patient admitting records and extracts relevant information  + Records patient identification and demographic information in the computerized billing system  + Contacts agency representatives to verify type and extent of coverage.
* Charge entry  + Performs preliminary review of source documents to determine that sufficient data are present for processing  + Using alphanumeric keyboard, transcribes and/or verifies data from source documents to the medium used for entering data into the computer  + Batch charges  + Generate cash totals  + Enter charges  + Balances batches by comparing batch proofs to source documents and hash totals
* Billing  + Works 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 information  + Operates hospital information system terminal to obtain patient demographic information, patient insurance information and status of approvals or denials  + Completes processing of all inpatient and outpatient documents received on a daily basis  + Assists in resolving department problems with IDX billing  + Maintains records of charges, payments, third party charges, etc.
* Collection  + Answers patient’s questions regarding statements, agency coverage, etc.  + Handles correspondence regarding collection activity and records results  + Identify patient accounts for collection action when accounts become delinquent or when unable to contact patient or responsible party  + May receive patient payments and/or issue payment receipts
* Coding  + Record CPT codes on billing form  + Record ICD-9 codes on billing form
* Follow-up  + Initiates contact with patients and/or third party carriers if there is a delay in responding to statements or claims  + May process incoming and outgoing mail  + May receive incoming telephone calls and resolve issues communicated  + Records results of mail and telephone contacts on the computer billing system  + Contacts insurance carriers regarding non-payment and/or improper payment of claims  + Reviews denials  + Interfaces with patients, physicians, and others regarding professional billing operations and funds
* Payment posting  + Post receipts to proper patient accounts  + Posts denials  + Compare batch proofs and source documents for accuracy
* Reporting  + Assists in reviewing and balancing IDX transaction reports for administration  + Reconciles daily IDX receivables reports  + Prepares billing statements from statistical data
* Credit balance resolution  + Review daily billing and accounts receivable credit balance reports  + Prepare daily refund check requests  + Prepare other daily credit balances other than refunds  + Post refund checks to patient accounts  + Mail refund checks with supporting documentation
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* General Responsibilities:

*** Performs other duties as assigned.
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* Minimum Requirements:

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* Education:

** High School Diploma or GED.
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* Experience:

** 3-5 years of experience in Medical Billing, Medical Collections, Medical Billing Systems (IDX or other billing system) required.
** Licensure/Certification s/Registrations

Required:

** None required.
** Knowledge, Skills, and Abilities:
*** Attention to detail
* Excellent verbal and written communication skills
* Proficient with the use of Microsoft Office tools#CB##
** Current OU Health Employees - Please click*
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