Senior Patient Account Representative - OUHP Revenue Integrity

Oklahoma University Medical Center

Job Description
Position Title:Senior Patient Account Representative - OUHP Revenue Integrity

Department:OUHP Revenue Integrity

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 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 patients 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

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

Current OU Health Employees - Please click 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.