Job Description
Basic Function and Responsibility:
To participate in diverse patient accounts activities including, but not limited to; bank deposit reconciliation, payment posting, payment analysis, credit and collections and/or financial counseling.
Characteristic Duties:
Process insurance and/or payment claims, including submission, follow up and payment application in accordance with all department productivity and accuracy standards. Utilize multiple internal and external computer programs and applications to process billing submissions and achieve prompt and optimum payment processing and deposit.
Review and analyze billing edits, errors, unpaid claims etc. and resolve within scope of authority. Analyze and determine appropriate action to be taken on inquiries from patients and payers and resolve within scope of authority. Analyze and monitor trends and problems pertaining to patient billing, provide documentation, and report/recommend action to Service Coordinator or Supervisor.
Monitor and evaluate patient accounts and refer delinquent accounts for collection, and may participate in collection activities. May verify insurance coverage and conduct credit checks. May make arrangements for, and confirm, payments including financial assistance and self-pay payments. May interview patients or representatives to determine patient liability allowances, and type of financial assistance for which patient is eligible.
May train, as needed, other Service Coordinators and Patient Service Representatives in the clinics on revenue cycle software and/or insurance related issues that may be causing alerts and hold bills. Conduct all activities within established regulatory requirements. Remain knowledgeable of federal, state and payer billing regulations. May complete unit/department specific duties and expectations as outlined in department documents.
Employee Benefits:
- Health, vision and dental insurance coverage starting day one
- Generous paid leave and paid time off, including nine holidays
- Multiple retirement options, including 100% matching up to 8% and full vesting in three years
- Tuition assistance for employees (75%) and immediate family members (50%)
- Discounts on cell phone plans, rental cars, gyms, hotels and more
See a comprehensive list of benefits here.
accommodation. The performance of these physical demands is an essential function of the job. The employee may be
required ambulate, remain in a stationary position and position self to reach and/or move objects above the shoulders
and below the knees. The employee may be required to move objects up to 10 lbs.
are required of the employee for this job; however, completion of these duties is a measure of successful performance.
Employees of this job classification are subject to performance reviews. Basic function, responsibilities and characteristics
duties may change at any time with or without notice.
Equal Opportunity Employer
The University of Missouri System is an Equal Opportunity Employer. Equal Opportunity is and shall be provided for all employees and applicants for employment on the basis of their demonstrated ability and competence without unlawful discrimination on the basis of their race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity, gender expression, age, disability, or protected veteran status, or any other status protected by applicable state or federal law. This policy applies to all employment decisions including, but not limited to, recruiting, hiring, training, promotions, pay practices, benefits, disciplinary actions and terminations. For more information, visit https://www.umsystem.edu/ums/hr/eeo.
All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity, gender expression, age, disability, or protected veteran status, or any other status protected by applicable state or federal law.
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