Patient Account Representative-Insurance

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

Starting Pay - $23.18 to $28.97 (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:

• Review insurance claims prior to submission to identify and resolve errors, ensuring accurate and timely billing in accordance with payer guidelines.
• Monitor claim status and follow-up with insurance carriers on delayed or unpaid claims.
• Review and resolve denied claims in collaboration with payers and patients.
• Post insurance payments, adjustments, and remittance activity accurately to patient accounts.
• Investigate and resolve credit balances and billing discrepancies.
• Respond to internal and external inquiries related to billing and insurance.
• Document all actions and follow-up activities within the billing system.
• Maintain current knowledge of payer guidelines, updates, payer websites and payer portals.
• Support development and implementation of department procedures and workflows.
• Participate actively in department meetings, focus groups, training opportunities, and process improvement initiatives.
• Maintain data integrity within billing systems by following established workflows and standards.
• Review reports and work queues to support A/R goals.

Perform other duties as assigned.