Patient Account Representative Insurance

1.0 FTE - Day Shift **This is a remote position. **

Starting Pay - $23.18 to $34.77 (based on experience)

Offers for external candidates are generally made between the minimum and midpoint of the range, 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

- Dental Insurance

- Vision Insurance

- Basic Life Insurance

- Tuition Reimbursement

- Employer Paid Short-Term Disability and Long-Term Disability

- Adoption Assistance Plan

Qualifications:

- College Certificate, Associate’s Degree, or equivalent related experience required

- Experience in medical billing, patient accounts, or healthcare revenue cycle operations preferred

- Knowledge of insurance payers, billing processes, claim submission, and reimbursement workflows

- Experience with claim follow-up, denial management, and appeals preferred

- Strong attention to detail and effective problem-solving skills

- Proficiency with computers with the ability to learn billing systems, software, and navigate payer websites and portals

- Effective communication to interact with insurance companies, internal departments, team members and patients

- Strong math skills with a basic understanding of the revenue cycle

- Understanding of Provider Based Billing (PBB) preferred

- Ability to manage multiple tasks independently and as part of a team in a fast-paced environment

Job Responsibilities:

- Reviews insurance claims prior to submission to identify and resolve errors, ensuring accurate and timely billing in accordance with payer guidelines.

- Monitors claim status and follows up with insurance carriers on delayed or unpaid claims.

- Reviews and resolves denied claims in collaboration with payers and patients.

- Posts insurance payments, adjustments, and remittance activity accurately to patient accounts.

- Investigates and resolves credit balances and billing discrepancies.

- Responds to internal and external inquiries related to billing and insurance.

- Documents all actions and follow-up activities within the billing system.

- Maintains current knowledge of payer guidelines, updates, payer websites and payer portals.

- Supports development and implementation of department procedures and workflows.

- Participates actively in department meetings, focus groups, training opportunities, and process improvement initiatives.

- Maintains data integrity within billing systems by following established workflows and standards.

- Reviews reports and work queues to support A/R goals.

- Performs other duties as assigned.

Originally posted on Himalayas