Patient Accounts Representative

## Patient Accounts Representative Apply:
System Offices | 901 E 104 St | Kansas City | MO:
Full time:
Posted Today:
Job Req
0060509#
** Job Description
*
* Location:

This position is a work from home position

Schedule:

Flexible Schedule
- Monday
- Friday: 6:00AM - 6:00

PMClaim Edits  
• Responsible for researching patient billing claims to identify and correct coding/claim errors  
• Responsible for researching patient insurance coverage to identify and resubmit claims to fix coverage denials.  
• Research and outline documentation needed for respective payor organizations so that claims are processed correctly  
• Familiarity with NCCI edits, incidentals/inclusive, and bundling rules, etc.  
• Identify problem trends  
• Communicate with payors for resolution to complications with claims  
• Responsible for 277 EDI transactions/rejections  
• Working with EDI transactions  
• Payment posting corrections/adjustments and ability to distribute payments  
• Correct/enter charges  
• Work with multiple teams/departments to resolve issues  
• Payment plan or financial assistance coordination    Insurance Denials and Follow-Up  
• Responsible for researching, identifying errors, and correcting claims denied by insurance companies.  
• Must be able to asses claim to determine when appropriate to make charge adjustments, void a charge, or escalate to the team lead and/or another medical billing team.  
• Responsible for writing appeal letters to insurance companies  
• Responsible for following up with insurance companies for no response claims.  
• Responsible for working with patient calls escalated from the Customer Service team regarding involving billing code issues.  
• Research refund request from payor organizations  
• Responsible for preliminary audit of billing code errors before claim submitted to the Coding team.  
• Responsible for routing complex claim denial to team lead and/or the appropriate medical billing team.  
• Responsible for identifying issues which can be resolved by programing software to prevent denials.  
• Responsible for becoming a subject matter expert on the payor policies.  
• Responsible for communicating and resolving problems with the  provider representatives  
• Responsible for simple level coding, including diagnosis review, modifier applications, some CPT cod changes following process documents and payor policies
** Candidate must live in or around the Kansas City metropolitan area.**#
** Job Requirements
** Applicable

Experience:

2 years

Diploma#
** Job Details
** Full Time Day (United States of America)