Patient Accounting Representative II, Pat Fin Svc-Billing-Follow-Up, Full Time, First Shift
Patient Accounting Representative II, Pat Fin Svc-Billing-Follow-Up, Full Time, First Shift
Posted 7 days ago
SENIORITY
Senior
About the role
- Communicates directly with payers to follow up on outstanding claims and achieve timely reimbursement. This may include obtaining claim status, submitting reconsiderations, or submitting appeals.
- Monitors and reviews denial reason codes to identify root causes; works with payer contracting, other areas of the revenue cycle, and payer representatives, if necessary to resolve issues
- Analyzes data to track collection efforts, identify trends, and provide team with updates and ideas for improvement
- Monitors payer files for accuracy, ensures payer documentation is completed by follow-up staff, and assists in updating files with pertinent information as necessary
- Assists other follow-up staff in identifying high-risk accounts and prioritizing follow-up efforts
- Helps to work and resolve accounts from other staff members' workloads to prevent backlogs and fills in as needed for absent staff
- Maintains superior understanding of claims management, third-party payer guidelines, state and federal regulations, and all other functions of the job; educates and trains other follow-up staff as needed
- Maintains compliance with HIPAA guidelines and ensures staff maintain discrepancy when handling patient information
- Works independently to resolve claims issues
- Participates in continuous quality improvement efforts on an ongoing basis, establishing goals with supervisors and tracking progress
- Offers suggestions to improve individual and team productivity
- Maintains a quality review score of 90% or greater on department quality reviews
- Assists supervisor with identifying departmental areas in need of improvements
- Self-Development:
- Attends 1 or more UC Health training and development courses per year
- Other duties as assigned
- Productivity:
- Maintains 100% or greater each week on department productivity scoring and takes responsibility for individual productivity standards
- Quality:
- Other duties as assigned
- QualificationsQualificationEducationMinimum Required: High School Diploma or GED.
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