Medicare Follow-up Rep (Patient Account Rep) - Oregon Health & Science University : Job Details

Third-Party Follow-Up and Collection. Analyze and follow-up on Medicare accounts on AEOS worklist and take appropriate action(s) to resolve all account balances. STANDARD: 250 action items (average, depends on staffing)Supply needed information to Medicare that will expedite processing of payments, i.e., resubmit claims, correct Return to Provider claims, prepare appeals, communicate with various third parties and our patients. Process financial allowances, contract allowances and other adjustments as appropriate. Access various systems to check claim status and eligibility. Systems may be online or require phone contact. Responsible for maintaining a high level of security and confidentiality in the use of these systems. Update account insurance coverage as appropriate. Calculate outpatient MSP claim reimbursement and determine if billing is necessary. Customer Service. Receive phone calls from Customer Service and other Patient Business Services sections. Analyze account activity to ...Patient, Customer Service, Account, Accounting, Healthcare