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This position was posted on December 16, 2025 and is likely no longer accepting applications. We've kept it here for historical reference. Check out the similar jobs below!
Job Overview
Location
System Offices 901 E 104 St Kansas City MO
Job Type
Full-time
Category
Accounting
Date Posted
December 16, 2025
Full Job Description
đź“‹ Description
- • Own the revenue-cycle heartbeat of Saint Luke’s 18-hospital network as a Patient Accounts Representative. You will be the critical link between clinical services and financial health, ensuring every patient encounter is accurately translated into a clean, compliant, and collectible claim.
- • Master the art of claim-editing by dissecting 277 EDI rejections, NCCI edits, bundling rules, and incidentals-inclusive logic. You’ll spot patterns others miss, correct coding errors before they reach payors, and prevent denials that cost millions.
- • Investigate insurance coverage gaps in real time—verifying benefits, identifying policy changes, and resubmitting corrected claims within payer filing limits. Your detective work turns denied dollars into recovered revenue.
- • Draft persuasive, policy-backed appeal letters that compel insurers to overturn denials. You’ll cite clinical documentation, reference payer contracts, and escalate strategically when medical necessity is questioned.
- • Serve as the go-to escalation point for Customer Service when patients call about baffling billing codes. You’ll translate complex jargon into compassionate explanations while simultaneously fixing the underlying claim issue.
- • Partner with Coding, HIM, Patient Access, and clinical departments to close documentation gaps, correct charge entry errors, and implement front-end process fixes that stop denials before they start.
- • Post payments, adjustments, and refunds with precision, ensuring every penny is allocated correctly and every patient balance is either collected or routed to financial-assistance pathways.
- • Build payment plans and screen patients for charity care or Medicaid eligibility, safeguarding access to care while protecting the organization’s financial integrity.
- • Become the resident subject-matter expert on payer policy changes—Medicare, Medicaid, commercial, and employer plans. You’ll translate new rules into actionable workflows and train peers on emerging requirements.
- • Identify recurring denial trends and partner with IT to configure software edits that auto-correct common errors, driving continuous improvement across the revenue cycle.
- • Enjoy a flexible Monday–Friday schedule (6:00 AM–6:00 PM) that lets you balance life in the Kansas City metro while delivering world-class support to patients and providers.
- • Thrive in a faith-based, nonprofit environment where 12,000 colleagues share a mission: “The best place to get care. The best place to give care.” Your work directly funds life-saving technology, community outreach, and charity care initiatives.
🎯 Requirements
- • 1+ year of hands-on medical billing, claims editing, or insurance follow-up experience in a hospital, clinic, or revenue-cycle vendor setting
- • Demonstrated proficiency with NCCI edits, CPT/ICD-10 codes, modifiers, bundling rules, and 277/837 EDI transactions
- • High-school diploma or equivalent; college coursework in health information, business, or related field preferred
- • Advanced Excel skills and experience with Epic, Cerner, or comparable EHR/billing systems
- • Ability to craft clear, concise appeal letters and communicate effectively with payors, clinicians, and patients
🏖️ Benefits
- • Comprehensive medical, dental, and vision plans starting day one, plus flexible spending and HSA options
- • Up to 100% tuition reimbursement for job-related degrees and certifications, fueling lifelong learning
- • Generous PTO, paid holidays, and leave-of-absence programs that support work-life balance and family needs
- • 403(b) retirement plan with employer match and financial-planning resources to secure your future
- • Employee Assistance Program, wellness incentives, and spiritual-care resources rooted in Saint Luke’s faith-based mission
Skills & Technologies
About Saint Luke's Health System
Saint Luke's Health System delivers comprehensive, compassionate healthcare services across the Kansas City region. As one of the area's oldest healthcare institutions, it serves individuals and families with a wide spectrum of care, from routine checkups to advanced procedures. The system encompasses 10 hospitals, numerous physician practices, home care, hospice, labs, imaging centers, behavioral health, and senior living communities. Emphasizing patient convenience, Saint Luke's offers modern options like virtual care and video visits, alongside its extensive network of physical locations and emergency services, ensuring accessible and personalized care for all health needs. This integrated approach highlights their commitment to community health and well-being.
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