Patient Account Representative-Insurance

1.0 FTE - Day Shift

Starting Pay - $23.18 to $28.97 (based on experience)

Offers for external candidates are generally made between the minimum and midpoint of the range, based on experience.

At Olmsted Medical Center, we value our employees and are committed to providing a comprehensive and competitive benefits package. To keep up with the evolving trends, Olmsted Medical Center offers the following for employees who are employed at a 0.5 FTE or higher.

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Basic Life Insurance
• Tuition Reimbursement
• Employer Paid Short-Term Disability and Long-Term Disability
• Adoption Assistance Plan

Qualifications:

• College Certificate, Associate's Degree, or equivalent related experience required
• Experience in medical billing, patient accounts, or healthcare revenue cycle operations preferred
• Knowledge of insurance payers, billing processes, claim submission, and reimbursement workflows
• Experience with claim follow-up, denial management, and appeals preferred
• Strong attention to detail and effective problem-solving skills
• Proficiency with computers with the ability to learn billing systems, software, and navigate payer websites and portals
• Effective communication to interact with insurance companies, internal departments, team members and patients
• Strong math skills with a basic understanding of the revenue cycle
• Understanding of Provider Based Billing (PBB) preferred
• Ability to manage multiple tasks independently and as part of a team in a fast-paced environment

Job Responsibilities:

• Reviews insurance claims prior to submission to identify and resolve errors, ensuring accurate and timely billing in accordance with payer guidelines.
• Monitors claim status and follows up with insurance carriers on delayed or unpaid claims.
• Reviews and resolves denied claims in collaboration with payers and patients.
• Posts insurance payments, adjustments, and remittance activity accurately to patient accounts.
• Investigates and resolves credit balances and billing discrepancies.
• Responds to internal and external inquiries related to billing and insurance.
• Documents all actions and follow-up activities within the billing system.
• Maintains current knowledge of payer guidelines, updates, payer websites and payer portals.
• Supports development and implementation of department procedures and workflows.
• Participates actively in department meetings, focus groups, training opportunities, and process improvement initiatives.
• Maintains data integrity within billing systems by following established workflows and standards.
• Reviews reports and work queues to support A/R goals.
• Performs other duties as assigned.