Patient Account Rep-Supplemental/PRN-Hybrid

Mayo Clinic•Rochester, MN

2d•$20 - $31•Hybrid

About The Position

This hybrid role requires an expert in institutional insurance and reimbursement for business lines such as 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, patient responsibility determination, patient communication, claim submissions, denial review, rebilling, appeals, and accounts receivable management. The role utilizes problem-solving, customer service, and communication skills to interact with patients and internal customers to resolve account, billing, and payment issues. The Patient Account Representative will interpret and apply Mayo Clinic policies regarding the financial aspects of patient care to ensure optimal reimbursement for both the patient and Mayo Clinic.

Requirements

Expertise in institutional insurance and reimbursement for specific business lines (outpatient pharmacy, durable medical equipment, skilled nursing facility, home health agency, or continuing care retirement center).
Proficiency in billing and collection processes.
Skills in service pre-certification, insurance coverage review, and personal responsibility determination.
Experience in claim submissions, denial review, rebilling, appeals, and accounts receivable management.
Strong problem-solving skills.
Excellent customer service skills.
Effective verbal and written communication skills.
Ability to interpret and apply company policies.

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.