PATIENT ACCOUNT REPRESENTATIVE 6644 Joint Corrections
Hiring Department
University Physicians
Job Description
Follow University Physicians and Hospital Patient Accounts written procedures to work Joint Correction e-mails, registration rejects, registration fatal edits, self-pay pending insurance, registration TES edits, HPA balance transfers and hold bills, registration cleanup projects, and other projects and tasks as assigned.
Responsibilities:
- Work all assigned task lists and emails daily maintaining the department timely review standards.
- Update patient registration through Cerner Revenue Cycle and IDX.
- Experian (ECN) reports for UP and HPA including self-pay and pending insurance, UP and HPA Medicaid spend down accounts.
- Maintain appropriate visit/invoice (account) management.
- Utilize aggressive follow-up methods and interact professionally with all entities necessary to ensure prompt maximum reimbursement of University Physicians and HPA charges.
- Possess knowledge of Medicaid spend down and Pending Medicaid procedures.
- Complete verification of insurance, UP Rejects follow-up, HPA denials follow-up, UP Experian Claim Source Billing, and HPA SSI Billing utilizing payer/insurance websites and/or phone contact to payer.
- Understanding of insurance billing and collecting policies.
- Proper review of registration UP Fatal Edits/TES Edits and HPA Fatal Edits.
- Proper review of HPA hold bills and overall understanding of why each task occurs and how to resolve.
- Assist in training new staff as needed.
- Knowledge of electronic claim submissions and rejection reports.
- Process all correspondence thru ETM.
- Analyze complex accounts as well as problems and trends involving root causing and providing examples with proposed written or verbal solutions to Service Coordinator or Supervisor.
- Complete patient contact as needed for Coordination of Benefits updates to assist in proper insurance billing and reimbursement.
- Complete all job responsibilities utilizing documented procedures.
- Complete various projects or assignments as assigned by Supervisor.
- Staff will be held accountable for work effort through the productivity measures and timely review goals established by department.
Position is eligible for the University Physicians work from home program.
Salary
Salary Range: $14.80 - $23.32
Grade: PAT - 004
University Title: PATIENT ACCOUNT REPRESENTATIVE
Internal applicants can determine their university title by accessing the Talent Profile tile in myHR.
Shift
Monday – Friday
8:00 a.m. – 5:00 p.m.
This position is eligible for University Physicians work from home program.
Minimum Qualifications
High school diploma or an equivalent combination of education and experience from which comparable knowledge, skills and abilities can be acquired.
Two (2) years of clerical experience; education may be used in lieu of experience.
Preferred Qualifications
Skills: Analytical skills
Ability to follow concise direction, both written and verbal.
Excellent telephone and communication skills.
Demonstrate a willingness to learn.
Ability to function as a team member.
Ability to operate a personal computer.
Ability to compose professional correspondence for internal and external customers.
Effective written and verbal communication skills.
Able to maintain a professional demeanor, communication and dress at all times.
Convey a positive attitude.
Mental requirements: Ability to receive and convey written and verbally communicated information.
Physical Requirements: Ability to remain seated at desk for most of/entire-working shift (excluding lunch/breaks) if required to meet responsibilities for a particular day.
Be able to use telephone, and other office equipment. Ability to receive & convey written/verbal communicated information. Ability to analyze complex mathematical problems. Understand and use standard database and spreadsheet software on PC effectively.
Application Materials
In addition to the Online Application, please provide a Cover Letter and Resume.
Benefit Eligibility
This position is eligible for University benefits. The University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, and educational fee discounts. For additional information on University benefits, please visit the Faculty & Staff Benefits website at http://www.umsystem.edu/totalrewards/benefits
Values Commitment
We value the uniqueness of every individual and strive to ensure each person’s success. Contributions from individuals with diverse backgrounds, experiences and perspectives promote intellectual pluralism and enable us to achieve the excellence that we seek in learning, research and engagement. This commitment makes our university a better place to work, learn and innovate.
In your application materials, please discuss your experiences and expertise that support these values and enrich our missions of teaching, research and engagement.
Equal Employment Opportunity
Equal Opportunity is and shall be provided for all employees and applicants for employment on the basis of their demonstrated ability and competence without unlawful discrimination on the basis of their race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity, gender expression, age, disability, protected veteran status, or any other status protected by applicable state or federal law. This policy shall not be interpreted in such a manner as to violate the legal rights of religious organizations or the recruiting rights of military organizations associated with the Armed Forces or the Department of Homeland Security of the United States of America. For more information, call the Director of Employee and Labor Relations at 573-882-7976.
To request ADA accommodations, please call the Director of Accessibility and ADA at 573-884-7278.
Know Your Rights
To read more about Equal Employment Opportunity (EEO) please use the following links:
- Know Your Rights English Version
- Know Your Rights Spanish Version
Vaccination Statement
After careful consideration of COVID-19 virus trends and the overwhelming evidence of COVID-19 vaccine safety and effectiveness, the School of Medicine, along with MU Health Care, the Sinclair School of Nursing and the School of Health Professions, recently announced the decision to require COVID-19 vaccinations by Oct. 1, 2021, for all employees, unless granted a medical or religious exemption.
All new hires will be required to submit proof of vaccination prior to your start date. If you would like to request a medical or religious exemption, you must do so upon acceptance of employment so our team has time to review prior to your scheduled start date. You will not be allowed to begin work until you have submitted proof of vaccination or received an approved medical or religious exemption.
Thank you for helping us to create the safest environment possible for our colleagues, students and our patients by protecting yourself and others through COVID-19 vaccination.
UMKC’s mission is to lead in life and health sciences; to deepen and expand strength in the visual and performing arts; to develop a professional workforce and collaborate in urban issues and education; and to create a vibrant learning and campus ...
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