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Patient Accounting Representative I

1 month ago

Lawrence, Kansas, United States The University of Kansas Health System Full time
Job Title: Patient Accounting Representative I

At The University of Kansas Health System, we are seeking a highly skilled Patient Accounting Representative I to join our team. This role is responsible for ensuring accurate and timely action on accounts, complying with governmental and managed care rules and regulations, and meeting department goals and productivity standards.

Key Responsibilities:
  • Posts payments, refunds, and adjustments to accounts within designated time frames.
  • Completes assigned work queues within designated time frames.
  • Balances receipts, reconciles daily batches, and prepares audit trails in accordance with department guidelines.
  • Reviews Explanation of Benefits for incorrect and inconsistent reimbursement.
  • Identifies consistent fee schedule allowable differences and communicates them to management.
  • Follows up with insurance companies on denials and insurance inquiries as necessary to resolve accounts.
  • Provides additional information or documentation as needed to resolve accounts.
  • Notes actions taken on accounts and verifies and updates insurance as directed by department policy.
  • Completes assigned work queues within designated time frames.
  • Processes adjustments on accounts as necessary in compliance with department policy.
  • Enrolls, validates, and re-validates practitioners' information with government and commercial payers.
  • Updates databases, monitors Medicare and commercial payer websites for revalidation notices, and communicates provider changes to contracted health plans and departments using standardized reports.
  • Assists with processing applications in accordance with organization's policy, procedures, and health plan requirements.
  • Audits provider data to ensure accuracy as assigned.
  • Communicates roster changes from physician groups.
  • Reviews department-specific Epic Charge work queues, makes corrections, and follows up with departments as needed.
  • Reviews daily Epic charge router reconciliation reports to ensure all charges are filed and interfaced.
  • Assists departments with charge error corrections, including duplicate, missing, or rejected charges.
  • Analyzes revenue trending reports and escalates problems to management and departments as appropriate.
Requirements:
  • High School Graduate or GED.
Preferred Qualifications:
  • 1 or more years of experience in Epic.