Patient Accounting Representative II, Pat Fin...

uc healthDayton, OH

Patient Accounting Representative II, Pat Fin Svc-Billing-Follow-Up, Full Time, First Shift

uc healthDayton, OH

7 days ago

Bill and Account Collectors Patient Representatives Billing and Posting Clerks

General Medical and Surgical Hospitals Specialty (except Psychiatric and Substance Abuse) Hospitals All Other Miscellaneous Ambulatory Health Care Services

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UC Health Revenue Cycle Account Receivable Specialist At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is committed to providing an inclusive, equitable and diverse place of employment. Managing Revenue Cycle accounts receivable, following standard Operating Departmental Procedures to ensure prompt payment of payer and patient payments. Responsible for collaborating with other departments, or third parties, to drive payer and patient collections.

Responsibilities: Revenue Cycle Functions:

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.

Preferred: Associate degree. Experience Minimum Required: 3 5 years of relevant experience in Revenue Cycle and/or Epic Revenue Cycle applications. Job InfoJob Identification 24122 Job Category Finance Locations 3200 Burnet Ave, Cincinnati, OH, 45229, USEmployer UC Health, LLCCost Center UCH-681810-Pat Fin Svc-Billing-Follow-UpRemote/Hybrid/Onsite RemoteOn Call Required? NoShift First Working Hours 40FTE 1

Also on the board Same function, level within a rung

Level

Senior

Location

Dayton, OH

Occupation

Bill and Account Collectors

Industry

General Medical and Surgical Hospitals

Posted

7 days ago

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