Patient Accounts Specialist

AveraMarshall, MN
Onsite

About The Position

Accountable for having a high level of knowledge of the Avera Medical Group patient accounts responsibilities for the Avera Medical Group Clinics. They are responsible for complete follow-up of patient accounts, working closely with insurance companies and internal team members to resolve account issues.

Requirements

  • The individual must be able to work the hours specified.
  • Visual acuity adequate to perform position duties.
  • Ability to communicate effectively with others.
  • Ability to hear, understand and distinguish speech and other sounds.
  • Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
  • Promote Avera’s values of compassion, hospitality, and stewardship.
  • Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
  • Maintain confidentiality.
  • Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
  • Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Nice To Haves

  • Associate's or technical degree.
  • 1-3 years of related experience.

Responsibilities

  • Responsible for follow-up on accounts receivable by contacting insurance companies.
  • Closely follows the appropriate procedures and practices.
  • Responsible for account review and follow up of unpaid, overpaid/over adjusted and denied claims.
  • Reviews, analyzes, and appeals denials received relative to claims processing issues with insurance payers.
  • Communicates with internal and external customers involved in the claims resolution process to ensure timely claims processing.
  • Identifies the need to rebill claims through account review and completes claim refiling as well as submits secondary claims not auto- generated through the system.
  • Assist with patient responsibility follow-up as needed.
  • Responsible for being available to answer direct patient inquiries.
  • Support any on site facility needs as determined by leadership.

Benefits

  • PTO available day 1 for eligible hires.
  • Up to 5% employer matching contribution for retirement.
  • Career development guided by hands-on training and mentorship.
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