Patient Account Representative

Dedicated to serving northeast Oklahoma’s bone, joint, and muscle needs, our specialty-trained doctors at Advanced Orthopedics of Oklahoma deliver the expert, compassionate care needed to heal, recover, and advance.

We proudly offer the highest level of comprehensive care for a variety of musculoskeletal concerns, from chronic pain to acute injuries, to area residents throughout Tulsa, Claremore, Bixby, McAlester, and the surrounding areas.

Job Summary: Review and follow-up of charges billed to insurance carriers. This includes contacting insurance companies, researching and re-filing claims, resolving patient billing problems. Shared responsibility for answering patient and insurance calls, printing, reviewing, and mailing demand claims and statements as needed.

Essential Functions and Responsibilities:

• Generates and prints insurance claims, both paper and electronic.
• Files primary, secondary and tertiary insurance claims per office protocol.
• Processes requests for additional information.
• Researches, corrects, and refiles all claim denials due to incorrect or missing information.
• Follows-up on accounts where insurance payment is pending.
• Answers patient questions and inquiries regarding their accounts and follows through on requests.
• Works cooperatively with others to increase accuracy and efficiency.
• Posts all actions and maintains permanent record in patient account or other appropriate place.
• Prepare and submit account adjustments.
• Call Insurance companies, hospitals, and referring physician offices to resolve payment problems.
• Assists other departments as requested by supervisor.
• Attends meetings as required.
• Maintains strictest confidentiality.
• Work claim dashboard from eCW.
• Secure authorizations not properly obtained before services rendered.
• Research and prepare refund requests for insurance and patient reimbursement.
• Write up and file appeals to insurance as needed.
• Performs other duties as assigned.

Education:

• High school diploma or GED required.

Work Experience:

• One year of insurance and collection experience in a health care organization.
• Prefers 1 to 2 years' experience in Medicaid.

Licensure, Registration and/or Certification: None.

Knowledge, Skills, and Abilities:

• Knowledge of medical billing and collection practices.
• Knowledge of basic medical coding and terminology.
• Knowledge of grammar, spelling, and punctuation.
• Experience with computer, fax, calculator, and copier.
• Ability to read, understand and follow oral and written instructions.
• Ability to communicate professionally, clearly, and courteously with patients, co-workers, and others.
• Ability to establish and maintain effective working relationships with physicians, staff, and the public.
• Ability to sort and organize materials.
• Ability to write legibly.

Working Conditions:

• Work is performed in a medical office setting.
• May be exposed to communicable diseases, toxic substances, ionizing radiation, medical preparations, biohazards, bodily fluids and other conditions common to a clinic setting.
• Involves frequent contact with staff and the public.
• Contact involves dealing with sick persons.
• Interaction with others may be constant and interruptive.
• Work may be stressful at times.
• May involve dealing with angry or upset individuals.
• May periodically work outside of normal work hours.

Physical Requirements:

• Requires sitting for long periods of time.
• Requires viewing computer screen and typing for long periods.
• Requires normal physical strength to exert up to 30 pounds of force occasionally and/or up to 10 pounds of force frequently to move objects.
• Requires normal physical agility, which includes stooping, bending and stretching to access files and supplies.
• Requires normal concentration regarding complexity and timeliness of decision making.
• Requires normal memory, taking into consideration the amount and type of information involved.
• Average visual acuity necessary to prepare or review documents or operate equipment.
• Ability to speak, frequently conveying detailed or important information or ideas accurately.
• Ability to hear normal speech, both in person and on the telephone.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Schedule:

• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• insurance & collection: 1 year (Required)
• Medicaid medical claims: 1 year (Required)

Work Location: In person