Tulsa, OK
Patient Account Representative | Tulsa, OK
Reports To: Revenue Cycle Manager
Job Summary: Review and follow-up of charges billed to insurance carriers. This includes contacting insurance companies, researching and re-filing claims, resolving patient billing problems. Shared responsibility for answering patient and insurance calls, printing, reviewing, and mailing demand claims and statements as needed.
Essential Functions and Responsibilities:
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Generates and prints insurance claims, both paper and electronic.
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Files primary, secondary and tertiary insurance claims per office protocol.
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Processes requests for additional information.
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Researches, corrects, and refiles all claim denials due to incorrect or missing information.
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Follows-up on accounts where insurance payment is pending.
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Answers patient questions and inquiries regarding their accounts and follows through on requests.
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Works cooperatively with others to increase accuracy and efficiency.
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Posts all actions and maintains permanent record in patient account or other appropriate place.
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Prepare and submit account adjustments.
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Call Insurance companies, hospitals, and referring physician offices to resolve payment problems.
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Assists other departments as requested by supervisor.
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Attends meetings as required.
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Maintains strictest confidentiality.
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Work claim dashboard from eCW.
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Secure authorizations not properly obtained before services rendered.
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Research and prepare refund requests for insurance and patient reimbursement.
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Write up and file appeals to insurance as needed.
Education:
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High school diploma or GED required.
Work Experience:
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One year of insurance and collection experience in a health care organization.
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