Patient Account Representative Lead - Dean McGee Eye Institute - Oklahoma Health Center

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* Position Title:

** Patient Account Representative Lead - Dean McGee Eye Institute - Oklahoma Health Center##
** Department:
** Revenue Integrity##
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* Job Description:

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* 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.
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* 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 patient’s 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 forms
* Record ICD-9 codes on billing forms
** 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
** Personnel Supervision**.
* Leads and trains employees.
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* General Responsibilities:

*** Performs other duties as assigned.
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* Minimum Requirements:

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* Education:

** High School Diploma or GED.
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* Experience:

** At least 5 years of experience in Medical Billing, Medical Collections, Medical Billing Systems (IDX or other billing system) required.
** Licensure/Registrations/Certifications

Required:

** None required.
** Knowledge, Skills & Abilities:
*** Proven ability to manage a team of professionals and lead a departmental function
* Excellent verbal and written communication skills
* Proficient with…