Patient Account Rep-Diversified Bus-Supplemental/PRN-Remote

Mayo Clinic•Rochester, MN

1d•Remote

About The Position

Institutional Insurance and reimbursement expert for one or more of the following business lines: outpatient pharmacy, durable medical equipment, skilled nursing facility, home health agency or continuing care retirement center. Performs all aspects of the billing and collection processes for the individual business lines across the enterprise. These processes include service pre-certification, insurance coverage review and personal responsibility determination, communications with patients, claim submissions, denial review, rebilling, appeals, and accounts receivable management. Utilizes skills in problem solving, customer service, and communications (verbal and written) in interactions with patients and internal customers to resolve 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 to assure optimal reimbursement for both the patient and Mayo Clinic.

Requirements

Institutional Insurance and reimbursement expert for one or more of the following business lines: outpatient pharmacy, durable medical equipment, skilled nursing facility, home health agency or continuing care retirement center.
Skills in problem solving, customer service, and communications (verbal and written)

Responsibilities

Performs all aspects of the billing and collection processes for the individual business lines across the enterprise.
Service pre-certification
Insurance coverage review and personal responsibility determination
Communications with patients
Claim submissions
Denial review
Rebilling
Appeals
Accounts receivable management
Utilizes skills in problem solving, customer service, and communications (verbal and written) in interactions with patients and internal customers to resolve 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 to assure optimal reimbursement for both the patient and Mayo Clinic.