Job Description

Saint Luke’s in Kansas City is seeking a Patient Accounts Representative to join our team. This role will give you the opportunity to perform billing claim edits and insurance follow up.

Schedule: Flexible Schedule - Monday - Friday: 6:00AM - 6:00PM

Claim Edits
• Responsible for researching patient billing claims to identify and correct coding/claim errors
• Responsible for researching patient insurance coverage to identify and resubmit claims to fix coverage denials.
• Research and outline documentation needed for respective payor organizations so that claims are processed correctly
• Familiarity with NCCI edits, incidentals/inclusive, and bundling rules, etc.
• Identify problem trends
• Communicate with payors for resolution to complications with claims
• Responsible for 277 EDI transactions/rejections
• Working with EDI transactions
• Payment posting corrections/adjustments and abi...