Patient Account Representative - Insurance

Olmsted Medical Center•Rochester, MN

4d•Remote

About The Position

The Patient Account Representative - Insurance reviews insurance claims, follows up with payers, manages denials and payments, and resolves account discrepancies to support accurate and timely billing. This is a remote, 1.0 FTE day-shift position. Starting pay is $23.18 to $34.77, based on experience; external-candidate offers are generally made between the minimum and midpoint of the range, based on experience. Employees employed at 0.5 FTE or higher are offered a benefits package that includes medical, dental, and vision insurance; basic life insurance; tuition reimbursement; employer-paid short-term and long-term disability; and adoption assistance.

Requirements

College certificate, associate’s degree, or equivalent related experience.
Knowledge of insurance payers, billing processes, claim submission, and reimbursement workflows.
Strong attention to detail and effective problem-solving skills.
Computer proficiency and ability to learn billing systems and software and navigate payer websites and portals.
Effective communication skills to interact with insurance companies, internal departments, team members, and patients.
Strong math skills and a basic understanding of the revenue cycle.
Ability to manage multiple tasks independently and as part of a team in a fast-paced environment.

Nice To Haves

Experience in medical billing, patient accounts, or healthcare revenue cycle operations.
Experience with claim follow-up, denial management, and appeals.
Understanding of Provider Based Billing (PBB).

Responsibilities

Review insurance claims before submission to identify and resolve errors, ensuring accurate and timely billing in accordance with payer guidelines.
Monitor claim status and follow up with insurance carriers on delayed or unpaid claims.
Review and resolve denied claims in collaboration with payers and patients.
Post insurance payments, adjustments, and remittance activity accurately to patient accounts.
Investigate and resolve credit balances and billing discrepancies.
Respond to internal and external billing and insurance inquiries.
Document actions and follow-up activities in the billing system.
Maintain current knowledge of payer guidelines and updates, and use payer websites and portals.
Support development and implementation of department procedures and workflows.
Participate in department meetings, focus groups, training opportunities, and process improvement initiatives.
Maintain data integrity in billing systems by following established workflows and standards.
Review reports and work queues to support accounts receivable goals.
Perform other duties as assigned.