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This position was posted on January 28, 2026 and is likely no longer accepting applications. We've kept it here for historical reference. Check out the similar jobs below!

Patient Accounts Representative

Saint Luke's Health System

Job Overview

Location

System Offices 901 E 104 St Kansas City MO

Job Type

Full-time

Full Job Description

📋 Description

• As a Patient Account Representative at Saint Luke's Health System, you will play a pivotal role in ensuring the financial health of our physician clinics by meticulously managing all aspects of account receivable activities. This is a comprehensive role that requires a keen eye for detail, strong analytical skills, and a commitment to excellent patient service.
• Your primary responsibilities will encompass the thorough review and auditing of billing charges, accurate billing processes, diligent collection efforts, and straightforward coding tasks. You will be the frontline in managing patient accounts, ensuring that all financial transactions are processed correctly and efficiently.
• A key part of your role will involve entering charge demographics with precision. You will also be instrumental in troubleshooting any charge-related issues that arise, providing timely and effective solutions for clinic staff to minimize disruptions and maintain smooth operations.
• You will be the primary point of contact for patients regarding their billing inquiries, responding to both inbound and outbound calls with professionalism and empathy. This includes posting payments accurately, resolving any payment credits, and addressing patient concerns with clarity and understanding.
• A significant focus of this position is on identifying and correcting medical claim errors that could impede payment. You will proactively investigate claim issues, ensuring that all necessary documentation and coding are accurate to prevent denials and facilitate timely reimbursement.
• You will be responsible for identifying, correcting, and resubmitting medical claims that have been denied by insurance companies. This involves a deep dive into denial reasons, implementing corrective actions, and ensuring claims are re-submitted in compliance with payor requirements.
• This role requires you to actively work on resolving claim edits and managing denials and appeals. You will develop a strong understanding of payor policies and claim submission guidelines to effectively navigate these complex processes.
• You will be involved in the evaluation and coding of ICD, CPT, and HCPCS codes. This includes participating in all coding initiatives, understanding NCCI edits, incidentals, and bundling rules to ensure coding accuracy and compliance.
• You will demonstrate competency in identifying and correcting issues related to invalid diagnoses, incorrect modifier applications, and other coding-related problems that could impact claim adjudication.
• A crucial aspect of your work will be researching patient billing claims to identify and rectify coding errors. This proactive approach helps prevent future denials and ensures revenue integrity.
• You will also research patient insurance coverage to identify and resubmit claims, specifically addressing coverage denials and ensuring that claims are submitted to the correct payors with the appropriate information.
• You will be tasked with researching and outlining the specific documentation required by respective payor organizations to ensure claims are processed without delays or rejections.
• Familiarity with NCCI edits, incidentals, and bundling rules is essential for identifying potential claim issues before submission and for resolving existing ones.
• You will be responsible for identifying problem trends in billing and collections, and communicating these trends to relevant teams to implement systemic improvements.
• Effective communication with payors is vital for resolving complications with claims and ensuring prompt payment.
• You will be responsible for managing and resolving 277 EDI transaction rejections, working closely with EDI processes to ensure smooth electronic claim submission and remittance.
• This role involves making payment posting corrections, adjustments, and accurately distributing payments to patient accounts.
• You will ensure correct entry of charges, verifying all details before submission to prevent errors.
• Collaboration with multiple teams and departments across the health system is expected to resolve complex issues and improve overall processes.
• You will be involved in coordinating payment plans or financial assistance for patients, demonstrating a commitment to patient financial well-being.
• In the realm of Insurance Denials and Follow-Up, you will be responsible for researching, identifying errors, and correcting claims denied by insurance companies.
• You must be able to assess claims to determine the appropriate course of action, whether it's making charge adjustments, voiding a charge, or escalating the issue to a team lead or another medical billing team.
• You will be responsible for writing clear and concise appeal letters to insurance companies to contest claim denials.
• Following up with insurance companies for claims that have received no response is a key responsibility.
• You will work with patient calls escalated from the Customer Service team, specifically those involving complex billing code issues.
• Researching refund requests from payor organizations to ensure accuracy and compliance is part of the role.
• You will conduct preliminary audits of billing code errors before claims are submitted to the Coding team, acting as a gatekeeper for accuracy.
• You will be responsible for routing complex claim denials to the team lead or the appropriate medical billing team for specialized handling.
• Identifying issues that can be resolved through programming software to prevent future denials is an opportunity for process improvement.
• You will be expected to become a subject matter expert on payor policies, staying current with changes and their impact on billing and collections.
• Communicating and resolving problems with provider representatives is crucial for maintaining strong working relationships and ensuring efficient claim processing.
• You will perform simple level coding, including diagnosis review, modifier applications, and some CPT code changes, following established process documents and payor policies.
• This role offers the opportunity to contribute significantly to the financial stability of Saint Luke's Health System and to grow your expertise in medical billing and revenue cycle management within a supportive and mission-driven organization.

🎯 Requirements

• Minimum of 1 year of applicable experience in patient accounts, medical billing, or a related healthcare financial role.
• Familiarity with medical coding principles, including ICD, CPT, and HCPCS codes, as well as NCCI edits, incidentals, and bundling rules.
• Experience with electronic health record (EHR) systems and medical billing software.
• Strong understanding of insurance payor policies and claim submission processes.
• Excellent communication, problem-solving, and analytical skills.

🏖️ Benefits

• Full-time employment with competitive compensation.
• Comprehensive health, dental, and vision insurance plans.
• Generous paid time off (PTO) and holiday schedule.
• Opportunities for professional development and continuing education.
• Retirement savings plan with employer match.
• A supportive and inclusive work environment within a leading faith-based, non-profit health system.

Skills & Technologies

Onsite

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Saint Luke's Health System

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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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