UC Health
Patient Accounting Representative, Pat Fin Svc-Billing-Follow-Up, Full Time, 1st
UC Health, Cincinnati, Ohio, United States, 45208
Overview
Patient Accounting Representative, Pat Fin Svc-Billing-Follow-Up, Full Time, 1st Shift at UC Health. Location: Cincinnati, OH, United States. This role involves billing claims electronically, checking unpaid claim status, posting cash, pursuing self-pay cash collections, scanning documents, requesting medical records, and providing customer service. Qualifications
Minimum Required: High School Diploma or GED Preferred: Associate's Degree LICENSE & CERTIFICATION: N/A Minimum Required: 3 5 years of relevant experience in Revenue Cycle and/or Epic Revenue Cycle applications Responsibilities
The Revenue Cycle Follow-Up Representative is responsible for the timely and accurate follow-up of outstanding hospital claims to insurance payers, ensuring prompt and accurate reimbursement. This role requires proactive management of aged accounts receivable (AR), identification and resolution of payment delays or denials, and collaboration with internal departments and external payer representatives to remove barriers to payment. The position contributes directly to the organizations financial health by reducing AR days, improving cash flow, and supporting clean claim submission processes. Review, research, and follow up on unpaid or underpaid hospital claims using payer portals, Epic, and other billing systems; contact insurance companies via phone, portal, or email to determine claim status and expedite adjudication. Identify and resolve issues causing delayed or denied payments (e.g., coding discrepancies, authorization issues, medical necessity denials, eligibility, COB). Document all follow-up actions and payer communications accurately within the billing system per departmental policy. Denial Management: Investigate and resolve claim denials or rejections by determining root cause; collaborate with Denials, Coding, and Billing teams to correct and resubmit claims when appropriate; escalate systemic or payer-specific trends to supervisors or payer relations for intervention. Compliance & Policy Adherence: Ensure all billing and collection activities comply with CMS, state Medicaid, and payer-specific rules; maintain up-to-date knowledge of payer contracts, billing guidelines, and regulatory requirements; follow HIPAA and internal privacy/security standards at all times. Performance & Reporting: Meet productivity and quality standards for accounts worked daily and weekly; assist with achieving departmental AR aging and collection ratio goals; provide feedback on payer trends, process improvements, and workflow enhancements. Collaboration: Partner with supervisors, Government/Managed Care follow-up teams, Patient Financial Services, and Payer Relations to address chronic payer issues; participate in payer meetings and internal workgroups as needed to resolve escalations and improve processes. Job Details
Seniority level: Mid-Senior level Employment type: Full-time Job function: Accounting/Auditing and Finance Industries: Hospitals and Health Care Note: This description consolidates the relevant job information and removes duplicate or boilerplate content not essential to the role. #J-18808-Ljbffr
Patient Accounting Representative, Pat Fin Svc-Billing-Follow-Up, Full Time, 1st Shift at UC Health. Location: Cincinnati, OH, United States. This role involves billing claims electronically, checking unpaid claim status, posting cash, pursuing self-pay cash collections, scanning documents, requesting medical records, and providing customer service. Qualifications
Minimum Required: High School Diploma or GED Preferred: Associate's Degree LICENSE & CERTIFICATION: N/A Minimum Required: 3 5 years of relevant experience in Revenue Cycle and/or Epic Revenue Cycle applications Responsibilities
The Revenue Cycle Follow-Up Representative is responsible for the timely and accurate follow-up of outstanding hospital claims to insurance payers, ensuring prompt and accurate reimbursement. This role requires proactive management of aged accounts receivable (AR), identification and resolution of payment delays or denials, and collaboration with internal departments and external payer representatives to remove barriers to payment. The position contributes directly to the organizations financial health by reducing AR days, improving cash flow, and supporting clean claim submission processes. Review, research, and follow up on unpaid or underpaid hospital claims using payer portals, Epic, and other billing systems; contact insurance companies via phone, portal, or email to determine claim status and expedite adjudication. Identify and resolve issues causing delayed or denied payments (e.g., coding discrepancies, authorization issues, medical necessity denials, eligibility, COB). Document all follow-up actions and payer communications accurately within the billing system per departmental policy. Denial Management: Investigate and resolve claim denials or rejections by determining root cause; collaborate with Denials, Coding, and Billing teams to correct and resubmit claims when appropriate; escalate systemic or payer-specific trends to supervisors or payer relations for intervention. Compliance & Policy Adherence: Ensure all billing and collection activities comply with CMS, state Medicaid, and payer-specific rules; maintain up-to-date knowledge of payer contracts, billing guidelines, and regulatory requirements; follow HIPAA and internal privacy/security standards at all times. Performance & Reporting: Meet productivity and quality standards for accounts worked daily and weekly; assist with achieving departmental AR aging and collection ratio goals; provide feedback on payer trends, process improvements, and workflow enhancements. Collaboration: Partner with supervisors, Government/Managed Care follow-up teams, Patient Financial Services, and Payer Relations to address chronic payer issues; participate in payer meetings and internal workgroups as needed to resolve escalations and improve processes. Job Details
Seniority level: Mid-Senior level Employment type: Full-time Job function: Accounting/Auditing and Finance Industries: Hospitals and Health Care Note: This description consolidates the relevant job information and removes duplicate or boilerplate content not essential to the role. #J-18808-Ljbffr