Patient Account Rep- Diversified Business-Hybrid
About The Position
Mayo Clinic is a top-ranked healthcare provider dedicated to putting patients first and investing in its employees with competitive compensation and comprehensive benefits. This role is a hybrid position, requiring the employee to be located within 100 miles of a Mayo Clinic campus for on-site needs. The Patient Account Representative will serve as an institutional insurance and reimbursement expert for various business lines, including outpatient pharmacy, durable medical equipment, skilled nursing facility, home health agency, and continuing care retirement centers. Responsibilities include managing the entire billing and collection process, from service pre-certification and insurance coverage review to claim submissions, denial management, and accounts receivable. The role requires strong problem-solving, customer service, and communication skills to interact with patients and internal staff to resolve account, billing, and payment issues. The representative will interpret and apply Mayo Clinic policies related to the financial aspects of patient care to ensure optimal reimbursement for both the patient and the institution.
Requirements
- Associate Degree in finance, business, or healthcare-related majors and 1 year of experience in medical, pharmacy, or durable medical equipment billing and collection activities.
- OR High School diploma/GED with at least 3 years of 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.
- Ability 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.
- This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
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
- Serve as an institutional insurance and reimbursement expert for outpatient pharmacy, durable medical equipment, skilled nursing facility, home health agency, or continuing care retirement center.
- Perform all aspects of the billing and collection processes for individual business lines across the enterprise.
- Manage service pre-certification, insurance coverage review, and personal responsibility determination.
- Communicate with patients regarding billing and payment issues.
- Submit claims, review denials, rebill, handle appeals, and manage accounts receivable.
- Utilize problem-solving, customer service, and communication skills in interactions with patients and internal customers.
- Resolve a variety of account, billing, and payment issues for patients, physicians, nurses, pharmacists, technicians, and social workers.
- Interpret, apply, and communicate Mayo Clinic policies regarding financial aspects of patient care to assure optimal reimbursement.
Benefits
- Medical: Multiple plan options.
- Dental: Delta Dental or reimbursement account for flexible coverage.
- Vision: Affordable plan with national network.
- Pre-Tax Savings: HSA and FSAs for eligible expenses.
- Retirement: Competitive retirement package to secure your future.
- Continuing education and advancement opportunities.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
