Patient Account Representative - Insurance bei Olmsted Medical Center
Olmsted Medical Center · Rochester, Vereinigte Staaten Von Amerika · Onsite
- Optionales Büro in Rochester
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.