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Patient Account Representative at Picis Clinical Solutions, Inc. in Oklahoma City, Oklahoma

Posted in General Business 30+ days ago.

Type: Full-Time





Job Description:

Harris Affinity is seeking a Patient Account Representative to join our dynamic team.

As the Patient Account Representative you will monitor assigned patient accounts for accurate and timely payment of claims by managing work queue, aging lists, and claims correspondence; reviews claims denials for problem areas; resubmits claims and files appeals as necessary.

What your impact will be:


  • Manages work queue, aging lists, and claims correspondence to assure accurate and timely payment of accounts.

  • Verifies completeness and accuracy of billing data and revises any errors.

  • Reads and interprets denied claims in order to resolve discrepancies; resubmits or files appeal for reconsideration.

  • Reviews aging accounts in order to collect amounts due or initiates escalation procedures for collections, according to established guidelines.

  • Notes follow-up on billing records and maintains supporting documents and notes in established files; verifies that remittances meet contractual obligations.

  • Audits and resolves discrepancies on patient accounts; reviews accounts for non-covered or out of network procedures and refers adjustments according to established guidelines.

  • Receives telephone calls; answers inquiries and resolves patient account questions; contacts patients to obtain or relay account information.

  • Requires regular and prompt attendance.

  • Maintains and protects confidentiality in all aspects of patient health information, proprietary information, and employee information.

  • Manages customer/client interactions in a professional manner; responds promptly to requests for service and assistance, and meets those commitments.

  • Demonstrates the spirit of the philosophy, mission, and values of IMD through words and actions, and implements them into department processes, programs, and the working environment.

What we are looking for:


  • Minimum of six (6) months experience processing or filing medical insurance claims, medical terminology and/or coding 

  • Proficient in Microsoft Office, Internet, and medical billing systems.

  • Ability to work effectively and relate well to patients, clients, colleagues, and individuals inside and outside the company.

  • Ability to communicate both verbally and in writing to individuals inside and outside the company.

  • Ability to work in a fast-paced environment with demonstrated ability to prioritize multiple, competing tasks and demands, and to seek supervisory assistance as appropriate.

What we offer:


  • A competitive compensation package

  • A casual work environment

  • Full range of employee benefits 401(k), Health Insurance (medical, dental, vision, life, short and long-term disability, AD&D)

  • Paid Vacation

About us:

The goal of Harris Affinity is to maximize the financial potential for healthcare providers. We accomplish this by bringing together the expertise and experience of 4 companies with deep roots in healthcare, including the QuadraMed revenue cycle management software, Decision Support software from MedAssets/Vizient, ERP software from Ormed, and outsourced revenue cycle management solutions and administrative services from IMD (Integrated Medical Delivery).

This role may occasionally come into contact with Protected Health Information, Personal Identifiable Information or Privacy Records, and it is essential that all employees adhere to confidentiality requirements as outlined in the Employee Handbook and Harris’ Security and Privacy policies, as well as apply the concepts learned in the annual Security Awareness training.

#WeAreHarris
 

Harris is an Equal Opportunity/Affirmative Action Employer. We consider applicants without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other group protected by federal, state or local law.

If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (1)-613-226-5511 or at HarrisTalentAcquisition@harriscomputer.com. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.