Job Description

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.

The Follow Up Patient Accounting Representative resolves unpaid claims, which may including billing claims electronically, checking for unpaid claim status, perform denial research on Insurance websites, request medical records, prepare appeals and/or provide excellent internal or external customer service.

Responsibilities

Assists the manager in all daily activities associated with the collection function. Responsible for collection of past due accounts from patients. Collection will be accomplished by conventional phone system, letters, and other correspondence to collect balances, arrange payments, settlements, and review discount qualifications.

Revenue Cycle Performance

Productivity

Quality Reviews

Other duties as assigned

Qualifications

Education: High school diploma or GED.

Knowledge Required:

• • • Understanding of Healthcare Revenue Cycle
    • Understanding of the CMS-1500 claim form and required components
    • Understanding of basic coding requirements of the CMS-1500 claim form.
    • Understanding of Basic Payer adjudication procedures & Coordination of Benefits
    • Ability to read and understand the Insurance Explanation of Benefits
    • Understand common Billing / Insurance acronyms
      

Experience:

Miniumum: 6 months experience in Medical claim follow up or resolving credit balances or performing electronic cash posting. Basic skill with MS Office applications, such as Excel, Word, Print to PDF, Outlook and Fax from mail.

Prefer: 12 months experience in Professional Medical claim follow-up. Familiar with EPIC Resolute operating system, Claim Clearinghouse and Payer Websites.