Patient Account Representative - Insurance

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.