Saint Luke’s Health System is committed to the health and safety of our patients, visitors, and staff. Effective Nov. 1, 2021, full COVID-19 vaccination is a condition of employment for all SLHS employees.

Person, Nurse, Doctor

Patient Accounts Representative SLPG - Full Time days, Full Time.

Kansas City, Missouri.

JobReq0030834

 

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Patient Accounts Representative SLPG - Full Time days

  • 901 E 104 St, Saint Luke's Heath System - Headquarters, Kansas City, Missouri, United States, 64131
  • Patient Accounting
  • Full Time

Job Description​

The Patient Account Representative will be responsible for reviewing and auditing billing charges, billing, collection, straightforward coding, and all account receivable activities for the physician clinics within Saint Luke's Health System. Activities include, but are not limited to, entering charge demographics, troubleshooting charge related issues raised by clinic staff, responding to inbound and outbound billing calls from patients, payment posting, resolving payment credits, identifying and correcting medical claim errors that may prevent payment and identifying, correcting, and resubmitting medical claims denied by insurance companies.  Resolving claim edits, working denials and appeals.  Evaluation and coding of ICD, CPT, HCPCS.  All coding initiatives, NCCI edits, incidentals/inclusive, and bundling rules, etc.   Demonstrate competency for invalid diagnosis, modifiers, coding related issues. Preferred:  Billing or Coding Certifications.

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 code changes following process documents and payor policies

Why Saint Luke’s?

  • We value knowledge, experience, and expertise to improve patient outcomes and quality care.
  • The opportunity to make an impact on the health system and the healthcare industry.
  • Saint Luke’s offers competitive salaries and benefits packages to all of their employees, click here to find out more.

Job Requirements

Applicable Experience:

Less than 1 year

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.

Effective November 1st, 2021, full COVID-19 vaccination is a condition of employment for all Saint Luke’s Health System employees unless a medical or religious exemption is approved.

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