The University of Kansas Health System · 1 month ago
Patient Accounting Representative I
Liberty, MO
Full-time
Onsite
Entry Level
1+ years expThe University of Kansas Health System is seeking a Patient Accounting Representative I to join their team. This role is responsible for accurate and timely action on accounts, ensuring compliance with governmental and managed care regulations while meeting department goals and quality standards.
Clinical TrialsEducationEmergency MedicineHealth Care
Responsibilities
Posts payments, refunds and adjustments to accounts within designated time frame
Completes assigned work queue within designated time frame
Balances receipts, reconciles daily batches and prepares audit trail in accordance to department guidelines
Reviews Explanation of Benefit’s for incorrect and or inconsistencies in reimbursement
Identifies consistent fee schedule allowable differences and communicates up line for updating
Communicates payer trends to management
Follows up with insurance companies on denials and insurance inquiries as necessary to resolve the account
Provides additional information or documentation as needed to resolve account
Notes actions taken on the accounts and verifies and updates insurance as directed by department policy
Completes assigned work queue within designated time frame
Processes adjustments on accounts as necessary in compliance with department policy
Enrolls, validates and re-validates practitioners’ information with government and commercial payers
Updates databases, monitors Medicare, Medicare and Commercial payer websites for revalidation notices and communicates provider changes to contracted health plans and departments utilizing standardized reports
Assists with processing applications in accordance to organization's policy, procedures and health plan requirements
Audits provider data to assure accuracy as assigned
Communicates roster changes from physician groups
Review department specific Epic Charge work queues, make corrections and follow up with departments as needed
Review daily Epic charge router reconciliation report make sure all charges are filed and interfaced
Assist departments with charge error corrections including duplicate, missing or rejected charges
Analyze revenue trending reports and escalate problems to manager and departments as appropriate
Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department
These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required
Qualification
Required
High School Graduate or GED
Preferred
1 or more years of experience in Epic
Company
The University of Kansas Health System
The University of Kansas Health System is an academic medical center for complex care and diagnosis.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Parkinson's Foundation
2023-07-25Grant
Leadership Team
Tammy Peterman
President, Kansas City Division, Executive VP/Chief Operating Officer and Chief Nursing Officer
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