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Liberty Hospital · 2 weeks ago

Patient Accounting Representative I

Liberty, MO

Full-time

Onsite

Entry Level

1+ years exp

Liberty Hospital is seeking a Patient Accounting Representative I to ensure accurate and timely management of patient accounts within the Patient Financial Services department. The role involves posting payments, handling insurance follow-ups, and maintaining compliance with regulations while meeting departmental goals.

Health CareHospital

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