Patient Account Representative III
- Ohio State University Physicians, Inc.
- Remote
- 3 months ago
Job Description
Overview:
Who we are
Our culture
Our benefits
Responsibilities:
Preferences: Experience with EPIC; experience in a high volume central business office. Knowledgeable with Ohio payors and authorization requirements & process.
Knowledge, Skills and Abilities:
Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion!?
Who we are
With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth.
Our culture
At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community.
Our benefits
We know that having options and robust benefit plans are important to you. OSUP prioritizes the wellbeing of our team and that’s why we offer our employees a flexible, competitive benefit package. In addition to medical, dental, vision, health reimbursement accounts, flexible spending accounts, and retirement, we also offer an employee assistance program, paid time off, holidays, and a wellness program designed to support our employees so they can live their best lives.
Responsibilities:
- Provides problem resolution to authorization denials and follow-up issues as needed.
- Acts as a resource for colleagues with less experience to identify and resolve denials. Makes recommendations to management for resolution on any delays.
- Understands and performs all aspects of the billing life cycle; which includes insurance follow-up & collections, refunds, denials, and charge and payment postings.
- Reviews, verifies, obtains and corrects patient demographics and insurance information, medical diagnosis, laboratory and other diagnostic services information, hospital service, applicable dates, required authorizations and certifications, signatures, and other information related to preparation and processing of patient bills, and eligibility of coverage.
- Coordinates and analyzes EOB’s for denials and irregularities, institutes appropriate actions, and reprocess claims in accordance with Company policies and procedures.
- Analyzes aged trial balance reports, pending claim reports and other practice management reports to understand and recommend solutions to authorization denials/issues
- Attend payer/Revenue Cycle meetings as needed
- Attends meetings & develops solid working relationship with peers external to revenue cycle office
- Attends compliance and billing seminars as directed
- May lead projects within revenue cycle or have accountability for ongoing authorization issues/delays
- Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with co-workers and supervisors, and politeness to customers, vendors, and patients
- Ability to embrace diversity and communicate effectively with payers, patients, coworkers, departments, physicians, and management
- Excellent verbal, written, and interpersonal skills
- Performs other duties consistent with purpose of job as directed
- High School diploma or equivalent with four or more years of experience.
- Experience with a computerized billing system.
- Experience with Microsoft Word and Excel
Preferences: Experience with EPIC; experience in a high volume central business office. Knowledgeable with Ohio payors and authorization requirements & process.
Knowledge, Skills and Abilities:
- Ability to effectively communicate both verbally and in writing.
- High level of interpersonal skills to handle sensitive and confidential situations with poise, tact and diplomacy.
- Works independently with minimal guidance.
- Has in-depth conceptual and practical knowledge in revenue cycle.
- Analytical ability to gather and interpret data and develop, recommend, and implement solutions.