Patient Account Representative II- Corporate

OSU Physicians, Inc.

What is OSU Physicians all about?

We believe that being engaged and sharing in a larger purpose at work is instrumental to the employee experience. “Tradition, determination, teamwork, purpose, compassion, community, pride, integrity”….these are just a few words that our employees use to describe what it feels like to embody the “Buckeye Spirit” and work for our organization.

We strive to create environments where our colleagues and all those we serve feel empowered to share their full, authentic selves.

Our over 60 physician practices embody the spirit of teamwork with passionate care for our patients and each other. Our teams are diverse in employees, thoughts, and ideas bringing the full spectrum of a collaborative culture to the big picture – TEAMWORK!

OSU Physicians focuses on entire patient experience, from the minute they call in for an appointment, to being welcomed in the office, and then receiving quality, compassionate, thorough care from our physicians and the entire OSU Physicians healthcare team.

Sound like something you are seeking in your next career adventure? We invite you to keep reading.

What do we offer?

Benefits! It's all about choices. We know that having options and robust benefit plans are important to you. That's why here at OSU Physicians, we offer our employees a flexible, competitive benefit package. Full-time benefits start for individuals working a minimum of 30 hours per week, as well as some benefits available to employees working as little as 20 hours a week. Some of our excellent benefits options and perks include:

Diverse and Affordable Healthcare Choices: Coverage begins on your First Day of Employment; includes Medical, Dental, Vision and Prescription Drug Programs.

Outpatient clinic settings with day shift hours, Monday through Friday.

Generous Paid Time-Off: Allowing a true work-life balance starting at 17 days per year and 11 paid holidays.

Competitive compensation and career ladder opportunities

Retirement Plan: Company contribution of 7.5% to your retirement plan in which you are fully vested from your first day of employment.

Flexible Spending Accounts (Healthcare and Dependent Care).

Paid Parental Leave Program

Tuition Reimbursement Program

Requirements: High School diploma or equivalent with two or more years of claims processing, insurance billing, patient registration and eligibility verification experience; or equivalent combination of education and experience. Experience with a computerized billing system. Experience with Microsoft Word and Excel. Ability to effectively communicate both verbally and in writing. High level of interpersonal skills to handle sensitive and confidential situations with poise, tact and diplomacy.

Preferences: Experience with EPIC; experience in a high volume centralized billing office or clearinghouse.

What will you be doing?

What will you be doing?

Uses knowledge of invoices, claims, insurance billing and medical terminology in order to complete multiple tasks. Acts as a liaison between the physician and third parties by resolving edits in order for claims to be filed cleanly. Updates and resolves patient accounts for billing as directed.

Duties and Responsibilities include but not limited to:

• Pre A/R review and verification of correct patient demographics and insurance information, as well as other information related to preparation and processing of patient claims including eligibility coverage verifications on EPIC RTE (Real Time Eligibility) system and/or payor websites.
• Researches and resolves missing or conflicting patient demographic information.
• General knowledge of Medicaid pending eligibility and process according to company policy.
• Submit hardcopy and electronic claims and attach documentation as needed; reviews electronic charts in EPIC system in order to print medical records to be attached to claims or upload to clearinghouse/payer websites.
• Resolves claim form edits for missing and/or inaccurate information; including eligibility issues; resolves EDI claim formatting issues