Department: 13268 Enterprise Revenue Cycle - Revenue Cycle Support: Southeast Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Remote Position 8am to 5pm, patient phone coverage representative Pay Range $21.85 - $32.80 Major Responsibilities: - Receives incoming calls from patients as well as business office team members to perform coverage updates. Updates information in the Electronic Health Record(s) (EHR) to ensure coverage is verified and accurate. Ensures appropriate steps are taken to initiate claims on affected transactions. - Performs updates based on Visit Filing Order changes daily, ensuring claims are sent to the correct primary and/or secondary payor. - Reviews electronic eligibility transactions returned for patients with upcoming services, as well as for services that have already been billed to the patient, performing the necessary updates to coverage as needed to ensure accuracy of coverage information. - Sends and receives Customer Relationship Management requests (CRM) to communicate with other team members in the business office regarding patient-initiated insurance concerns. - Follows up on patient-initiated insurance changes through the EHR Patient Portal and makes updates as necessary. - Performs guarantor account updates based on patient-initiated requests, ensuring the appropriate guarantor type is being used based on billing requirements. - Updates hospital account records (HARs) and visits to ensure Smart Chart identified data discrepancies are corrected. - Works other EHR workqueues related to patient demographic, guarantor, and coverage information as needed. Licensure, Registration, and/or Certification Required: - None Required. Education Required: - High School Graduate. Experience Required: - Typically requires 2 years of experience in health care, with focus on registration, insurance, and billing. Knowledge, Skills & Abilities Required: - Knowledge and understanding of Revenue Cycle-specific insurance and billing procedures preferred. - Previous data entry experience and demonstrated proficiency with emphasis on speed with accuracy. - Good organizational ability as well as solid written and verbal communication skills. - A basic understanding of EHRs, with the ability to gain deeper knowledge. - Knowledge of Medicare, Medicaid and third-party payors. - Knowledge of medical terminology. Physical Requirements and Working Conditions: - Must be able to sit most of the workday. - Must be able to lift up to 10 lbs. occasionally. - Operates all equipment necessary to perform the job. - Exposed to a normal office or home office environment. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training - Premium pay such as shift, on call, and more based on a teammate's job - Incentive pay for select positions - Opportunity for annual increases based on performance Benefits and more - Paid Time Off programs - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability - Flexible Spending Accounts for eligible health care and dependent care expenses - Family benefits such as adoption assistance and paid parental leave - Defined contribution retirement plans with employer match and other financial wellness programs - Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Job Description Performs a complete verification check on all health insurance coverage. Obtains all financial demographic information from the discharge planner for the organization, as well as outside referrals. Demonstrates and promotes service excellence at all times. Job Responsibility - Obtains all financial demographic information from the discharge planner for the organization, as well as outside referrals. - Verifies all required insurance information, including primary payor data. - Notifies Nurses of any change in insurance information, as needed. - Provides information on all insurance coverage and any patient financial responsibility to discharge planner. - Completes all required elements of the insurance verification form. - Enters verified insurance information into computer. - Acts as a liaison between verifications and reimbursement. - Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification - High School Diploma or equivalent required. - 1-3 years of relevant experience, required. This position will be remote, Monday-Friday 10am-6pm. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

• Answer and manage incoming calls in a timely and professional manner • Schedule, reschedule, and confirm patient appointments • Provide general information about services, procedures, and clinic policies • Verify patient insurance coverage and eligibility • Assist with prior authorization requests and follow-ups • Coordinate with internal teams regarding patient needs and documentation • Accurately document all interactions in the system • Handle patient concerns and escalate issues when necessary • Monitor and respond to patient emails, text messages, and voicemails in a timely manner • Maintain confidentiality and comply with HIPAA regulations

Job Description​ Patient Accounts Representative is responsible for reviewing, billing, collection, and accounts receivable activities for the hospital (and in some cases the physician) billing departments within Saint Luke's Health System. Activities include, but are not limited to, entering demographics, troubleshooting issues, responding to inbound and outbound billing calls from patients, payment posting, resolving credits, identifying, and correcting medical claim errors that may prevent payment and identifying, correcting, and resubmitting medical claims denied by insurance companies. Resolving claim edits, working denials and appeals. Patient Account Representative may be responsible for any or all the following duties, including duties not otherwise assigned. Location: This position is a work from home position, candidate must be located in Kansas or Missouri Schedule: Flexible Schedule - Monday - Friday: 6:00AM - 6:00PM Claim Processing Responsible for researching patient billing claims to correct claim errors Understand respective payor requirements so claims are processed correctly Familiar with NCCI / NCD / LCD edits, incidentals/inclusive, and bundling rules, etc. Work with multiple teams/departments to resolve issues Hand billing of specialty care which may include residential care, transplant and research Insurance Denials Responsible for researching, identifying errors, and correcting claims denied by insurance companies. Responsible for writing appeal letters to insurance companies Research refund request from payor organizations Responsible for preliminary audit of billing code errors before claim resubmitted from denial Responsible for becoming a subject matter expert on the payor policies Payment posting corrections/adjustments and ability to distribute payments Insurance Follow-Up Responsible for following up with insurance companies for unpaid claims Responsible for communicating and resolving problems with the provider representatives when applicable Payment posting corrections/adjustments and ability to distribute payments Responsible for researching patient insurance coverage to identify and resubmit claims to fix coverage claim rejection/no pays Client Accounts Responsible for reviewing all accounts at the beginning of the month to make sure they are ready for statements. Work with clients on any billing questions they have Client refunds Job Requirements Applicable Experience: 1 year Diploma Job Details Full Time Day (United States of America) The best place to get care. The best place to give care. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke’s means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter. Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.