Patient Account REP-Diversified Business
About The Position
This 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 all aspects of the billing and collection processes for these business lines across the enterprise. Key responsibilities include service pre-certification, insurance coverage review, personal responsibility determination, communication with patients, claim submissions, denial review, rebilling, appeals, and accounts receivable management. The role requires strong skills in problem-solving, customer service, and communication (verbal and written) to interact with patients and internal customers, resolving account, billing, and payment issues. The representative will interpret, apply, and communicate Mayo Clinic policies regarding the financial aspects of patient care to ensure 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).
- Ability to interpret, apply and communicate Mayo Clinic policies regarding financial aspects of patient care.
Responsibilities
- Performs all aspects of the billing and collection processes for individual business lines across the enterprise.
- Manages service pre-certification.
- Conducts insurance coverage review and personal responsibility determination.
- Communicates with patients regarding their accounts.
- Submits claims.
- Reviews claim denials.
- Handles rebilling and appeals.
- Manages accounts receivable.
- Utilizes problem-solving, customer service, and communication skills in interactions with patients and internal customers.
- Resolves 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.
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.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
