• Patient Accounts Representative

    Saint Luke's (Kansas City, MO)


    Job Description​

    Saint Luke’s in Kansas City is seeking a Patient Accounts Representative to join our team. This role will give you the opportunity to perform billing claim edits and insurance follow up.

     

    **Schedule:** Flexible Schedule - Monday - Friday: 6:00AM - 6:00PM

    Claim Edits

    • Responsible for researching patient billing claims to identify and correct coding/claim errors

    • Responsible for researching patient insurance coverage to identify and resubmit claims to fix coverage denials.

    • Research and outline documentation needed for respective payor organizations so that claims are processed correctly

    • Familiarity with NCCI edits, incidentals/inclusive, and bundling rules, etc.

    • Identify problem trends

    • Communicate with payors for resolution to complications with claims

    • Responsible for 277 EDI transactions/rejections

    • Working with EDI transactions

    • Payment posting corrections/adjustments and ability to distribute payments

    • Correct/enter charges

    • Work with multiple teams/departments to resolve issues

    • Payment plan or financial assistance coordination

    Insurance Denials and Follow-Up

    • Responsible for researching, identifying errors, and correcting claims denied by insurance companies.

    • Must be able to asses claim to determine when appropriate to make charge adjustments, void a charge, or escalate to the team lead and/or another medical billing team.

    • Responsible for writing appeal letters to insurance companies

    • Responsible for following up with insurance companies for no response claims.

    • Responsible for working with patient calls escalated from the Customer Service team regarding involving billing code issues.

    • Research refund request from payor organizations

    • Responsible for preliminary audit of billing code errors before claim submitted to the Coding team.

    • Responsible for routing complex claim denial to team lead and/or the appropriate medical billing team.

    • Responsible for identifying issues which can be resolved by programing software to prevent denials.

    • Responsible for becoming a subject matter expert on the payor policies.

    • Responsible for communicating and resolving problems with the provider representatives

    • Responsible for simple level coding, including diagnosis review, modifier applications, some CPT cod changes following process documents and payor policies

     

    Why Saint Luke’s?

     

    We believe in creating a collaborative environment, while looking for innovative ways to improve. We offer competitive salaries and benefits packages to all eligible employees:

     

    + Medical health plans

    + Tuition reimbursement

    + Leave of Absence, PTO, Extended Sick Leave, and various Welfare plans

    + Retirement contributions

    + Employee Assistance Program

     

    Candidate must live in or around the Kansas City metropolitan area.

    Job Requirements

    Applicable Experience:

    2 years

     

    Diploma

    Job Details

    Full Time

     

    Day (United States of America)

     

    _The best place to get care. The best place to give care_** **. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke’s means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

     

    Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.