Patient Account Rep- Diversified Business-Hybrid

Mayo Clinic•Rochester, MN

4d•$20 - $31•Hybrid

About The Position

This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs. The role serves as an institutional insurance and reimbursement expert for various business lines including outpatient pharmacy, durable medical equipment, skilled nursing facility, home health agency, or continuing care retirement center. The position involves managing the entire billing and collection process, including service pre-certification, insurance coverage review, personal responsibility determination, patient communication, claim submissions, denial review, rebilling, appeals, and accounts receivable management. It requires strong problem-solving, customer service, and communication skills to interact with patients and internal customers to resolve account, billing, and payment issues. The role also involves interpreting and applying Mayo Clinic policies regarding the financial aspects of patient care to ensure optimal reimbursement for both the patient and Mayo Clinic.

Requirements

Associate Degree in finance, business or healthcare related majors and 1 year experience in medical, pharmacy or durable medical equipment billing and collection activities OR High School diploma/GED with at least 3 years’ experience in medical, pharmacy or durable medical equipment billing and collection activities, or certified pharmacy tech with 2 years of experience.
Strong human relations, communication, problem solving, and organizational skills to interact with a variety of customers and personnel, both within and outside the institution.
Ability to work independently and in a team environment.
Experience working with Windows based software, Microsoft Word, Excel, and the Internet.
Keyboarding experience required.
Must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs.

Nice To Haves

Pharmacy experience and submitting prior authorizations.
CPHT, MAA, or LPN preferred.
Claims management software experience desired.
Healthcare Financial Management Association (HFMA) Certification Preferred.

Responsibilities

Performs all aspects of the billing and collection processes for individual business lines across the enterprise.
Manages service pre-certification, insurance coverage review, and personal responsibility determination.
Communicates with patients regarding billing and payment issues.
Submits claims, reviews denials, performs rebilling, and handles appeals.
Manages accounts receivable.
Utilizes problem-solving, customer service, and communication skills in interactions with patients and internal customers.
Resolves a variety of account, billing, and payment issues for patients, physicians, nurses, pharmacists, technicians, and social workers.
Interprets, applies, and communicates Mayo Clinic policies regarding financial aspects of patient care.
Assures optimal reimbursement for both the patient and Mayo Clinic.