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Patient Account Representative - Insurance bei Olmsted Medical Center

Olmsted Medical Center · Rochester, Vereinigte Staaten Von Amerika · Onsite

47.257,00 $  -  59.092,00 $

Jetzt bewerben

1.0 FTE - Day Shift

Starting Pay - $22.72 - $28.41 (Based on Experience) 

At Olmsted Medical Center, we value our employees and are committed to providing a comprehensive and competitive benefits package. To keep up with the evolving trends, Olmsted Medical Center offers the following for employees who are employed at a 0.5 FTE or higher.

  • Medical Insurance
  • Paid Time Off 
  • Dental Insurance  
  • Vision Insurance
  • Basic Life Insurance
  • Tuition Reimbursement
  • Employer Paid Short-Term Disability and Long-Term Disability
  • Adoption Assistance Plan

Qualifications:

  • College Certificate, Associates Degree, or equivalent experience required
  • Excellent computer skills required
  • Medical background preferred
  • Strong interpersonal, written, and oral communication skills
  • Strong math skills with a basic understanding of the revenue cycle
  • Understanding of Provider Based Billing (PBB) preferred
  • Knowledge of medical reimbursement and insurance terminology preferred
  • Ability to perform multiple tasks and work as a team and independently in a busy work environment

Job Responsibilities:

  • Prepares, processes, and submits third party insurance claims promptly and accurately in accordance with procedures and payer guidelines.
  • Processes third party remittances by posting insurance payments, adjustments, and notations to patient accounts.
  • Researches patient account problems with insurance carriers and patients to bring problems to resolution.
  • Follows up with insurance carriers regarding delayed claims processing.
  • Reviews denied insurance claims and works with payers and patients towards resolution.
  • Investigates and resolves credit balances.
  • Answers internal and external questions related to billing and insurance.
  • Performs necessary error corrections to rectify billing errors and/or changes.
  • Documents all activities and actions taken on an individual patient accounts within the billing system.
  • Continuously audits and reviews remittance advices for accurate payments and adjustments.
  • Accurately records daily activity on appropriate posting logs.
  • Reviews payer communiqués and reports updates to appropriate personnel. Maintain knowledge of payer billing guidelines and familiarity with payer websites.
  • Assists in development, coordination, and implementation of procedures.
  • Active member and participant of focus groups. Participates actively in department meetings.
  • Steps “out of the box” by thinking creatively and brings forth new ideas and suggestions to their supervisor.
  • Follows procedures regarding the accurate capture and maintenance of system information.
  • Reviews reports, work queues, and worklists in order to maintain A/R days.
  • Attends education and training seminars.
  • Other duties as assigned.
Jetzt bewerben

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