Position Title:

Patient Account Representative - Infectious Diseases Clinic

Department:

HB Infectious Diseases Center

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, and payment posting.

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 verity 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 the 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 account 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 forms
  • Record ICD-9 codes on billing forms
• Follow-up
  • Initiates contact with patient 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 fund
• Payment Posting
  • Post receipts to proper patient accounts
  • Posts denials
  • Compare batch proofs and source documents for accuracy

General Responsibilities:

• Performs other duties as assigned.

Minimum Requirements:

Education: High School Diploma or GED required.

Experience:  0-3 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, & Abilities:

• Attention to detail
• Good verbal and written communication skills
• Proficient with the use of Microsoft Office tools

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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.