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Patient Account Representative - Insurance

Patient Account Representative - Insurance

Olmsted Medical CenterRochester, MN, United States
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Description

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 communiques 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.

    • Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

    This employer is required to notify all applicants of their rights pursuant to federal employment laws.

    For further information, please review the Know Your Rights notice from the Department of Labor.

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    Patient Account Representative • Rochester, MN, United States

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