Patient Account Representative II - Ohio State University Physicians, Inc.

Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion!?

Who we are

With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth.

Our culture

At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community.

Our benefits

We know that having options and robust benefit plans are important to you. OSUP prioritizes the wellbeing of our team and that’s why we offer our employees a flexible, competitive benefit package. In addition to medical, dental, vision, health reimbursement accounts, flexible spending accounts, and retirement, we also offer an employee assistance program, paid time off, holidays, and a wellness program designed to support our employees so they can live their best lives.

• Reviews, verifies, obtains and corrects patient demographics and insurance information, medical diagnosis, laboratory and other diagnostic services information, hospital service, applicable dates, required authorizations and certifications, signatures, and other information related to preparation and processing of insurance bills, and eligibility of coverage.
  • Coordinates and analyzes EOB’s for denials and irregularities, institutes appropriate actions, and reprocesses claims in accordance with Company policy.
  • Investigates and resolves unpaid claims timely to accurately maximize reimbursement.
  • Researches and resolves missing or conflicting patient information; requests completion of additional forms or information for denied claims or special processing requirements.
  • Updates work queue and invoices for collection activity according to Department guidelines.
  • Accurately reconciles accounts; adjusts balances to reflect denials, adjustments, payments and other modifications to balances.
  • Responsible for identifying trends which impact revenue, communicates identified issues and trends to management. Participates in analysis and solutions to reduce and resolve denials.
  • Responsible for the follow up on A/R research projects; review status of accounts, action taken, and further course of action if warranted; provides updates to manager regarding status of A/R projects.
  • Provides problem resolution on denials and follow-up issues as needed.
  • Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with co-workers and supervisors, and politeness to customers, vendors, and patients.

• High School diploma or equivalent with two or more years of medical billing experience; or equivalent combination of education and experience.
• Knowledge of insurance carrier payment policies, practices and amounts.
• Must have basic computer knowledge. Evidence of organizational and problem solving skills, and ability to manage multiple priorities.
• Ability to effectively communicate both verbally and in writing.
• Work requires continual attention to detail in composing, typing and proofing materials, establishing priorities and meeting deadlines.
• May be required to work under time pressures or demanding requests from various staff members and departments.
• Must be able to interact and communicate with individuals at all levels of the organization.
• Preferences: Experience with EPIC, Claim Logic and Imaging software systems; CPC Certification.