OU Physicians is Oklahoma's largest physician group and encompasses almost every adult and child specialty.
POSITION INFORMATION: Under general supervision, may participate in any or all aspects of the patient processing and accounts receivable functions of the organization including billing, charge entry, collection, registration, scheduling, follow-up, coding, payment posting and credit balance resolution. May reconcile daily IDX system receivables reports. May balance monthly transactions and provide summaries to faculty and department administration.
REPRESENTATIVE DUTIES:
Patient Registration
Review patient admitting records and extracts relevant information.
Records patient identification and demographic information in the computerized billing system.
Contacts agency representatives to verify type and extent of coverage.
Billing
Works with all areas of the organization in getting any necessary or requested documentation for patients, insurance carriers or other areas.
May interact with hospital patient accounting or records personnel to obtain patient demographic or other billing information.
Operates hospital information system terminal to obtain patient demographic information, patient insurance information and status of approvals or denials.
Assists in resolving department problems with billing.
Maintains records of charges, payments, third party charges, etc.
Collection
Answers patient’s questions regarding statements, agency coverage, etc.
Handles correspondence regarding collection activity and records results.
May receive patient payments and/or issue payment receipts.
Follow-up
Initiates contact with patients and/or third party carriers if there is a delay in responding to statements or claims.
May process incoming and outgoing mail.
May receive incoming telephone calls and resolve issues communicated.
Records results of mail and telephone contacts on the computer billing system.
Interfaces with patients, physicians, and others regarding professional billing operations and funds.
Payment Posting
Post receipts to proper patient accounts.
Compare batch proofs and source documents for accuracy.
May be responsible for the department’s cash drawer.
Reporting
Assists in reviewing and balancing transaction reports for administration.
Reconciles daily receivables reports.
As Needed
Performs various duties as needed in order to successfully fulfill the function of the position.
Ability to interpret and apply policies and procedures.
Education: High School diploma or GED
Experience: 18months experience in Medical Billing, Medical Collections, Medical Billing Systems (IDX or other billing systems)
Skills:
Able to use 10-key by touch
Able to type 45 wpm
Read EOB's (Explanations of Benefits)
Analytical skills
Working knowledge of medical billing and collections
Customer service
Ability to communicate verbally and in writing
Ability to resolve problems in a timely manner
Proficient with a medical billing system and Microsoft Office Suite (Word, Excel, and Outlook)