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OSU Physicians Inc.
OSU Physicians Inc.

Patient Account Representative II - Accounts Receivable/Insurance Collections (700 Ackerman Road) - Corporate

Home > Careers > Job Openings > Billing and Insurance > Patient Account Representative II - Accounts Receivable/Insurance Collections (700 Ackerman Road) - Corporate

Location: 700 Ackerman Road

Purpose:  Uses knowledge of invoices, claims, insurance billing, collections and medical terminology in order to complete multiple tasks related to insurance billing.  Acts as a liaison between the physician, insurance companies and third parties by processing and verifying invoices, ensuring payment of claims and reviewing insurance reimbursements.  Responsible for the tracking of claims throughout the Revenue Cycle and specifically the billing process to identify problem areas and to determine a course of action in resolving aging claims.  Follows all governmental regulations as well as policies and procedures as outlined by the OSUP.

Requirements:  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, CPC Certification is a plus.

Duties and Responsibilities:

  • 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.
  • Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with co-workers and supervisors, and politeness to customers, vendors, and patients.
  • Other duties or special projects as assigned.

Interested candidates should e-mail their resume, cover letter, and salary requirements to osupjobs@osumc.edu or click here to submit that information.



OSU Physicians, Inc.
700 Ackerman Road Suite 600 | Columbus, OH 43202
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