Senior Patient Account Representative

1 month ago

Gurugram, India OU Health Full time

Job Description

:

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 scheduling Patient 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 totals BillingWorks 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 receipts CodingRecord CPT codes on billing formRecord ICD-9 codes on billing form Follow-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 funds Payment postingPost receipts to proper patient accountsPosts denialsCompare batch proofs and source documents for accuracy ReportingAssists in reviewing and balancing IDX transaction reports for administrationReconciles daily IDX receivables reportsPrepares billing statements from statistical data Credit 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 documentation

General Responsibilities:

Performs other duties as assigned.

Minimum Requirements:

Education: None required.

Experience: 1.5 years of experience in Medical Billing, Medical Collections, Medical Billing Systems (IDX or other billing system) required.

Licensure/Certifications/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

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