Non-Clinical - Billing Representative

Cynet Health; Saint Paul (MN); On-site; USD 36,000 - 46,000; Full time

Job summary

Cynet Health is seeking a Non-Clinical Billing Representative to support the revenue cycle by processing patient accounts and third-party payors. The role focuses on timely, accurate submissions and resolving front-end claims to minimize denials.

Responsibilities include patient account follow-up, coordination with payors, and contributing to a professional patient experience as the final impression of the organization. Requires 2+ years in medical billing/coding and strong MS Office skills.

Qualifications

• Two plus years of medical billing or coding experience including exposure to payor.
• Knowledge of commercial insurance carriers and standard insurance forms.
• Demonstrated ability to use Microsoft Office (Word, Excel, Outlook).

Responsibilities

• Support back-end revenue recovery by processing patient accounts to third party payors and patients/guarantors.
• Resolve front end claim edits to ensure accurate and timely clean claim submission.
• Follow up on outstanding patient accounts to address delays and denials and reconcile balances.
• Assist with revenue cycle duties as assigned by the Revenue Cycle Practice Manager.

Skills

Medical Billing

Coding

Payor

DME Billing

Medical Terminology

Microsoft Office

Education

High School Diploma/GED

Associate or Bachelor’s degree preferred

Tools

Microsoft Office

Job description

Non-Clinical - Billing Representative

Profession: Patient Account Representative

Specialty: -

Duration: 26 weeks

Shift: 5x8 Days

Hours per Shift: 7:00am-4:30pm, Monday to Friday

Experience: Two plus (2) years of medical billing or coding experience that includes exposure to payor.

License: N/A

Certifications: N/A

Must-Have:

• Medical Billing
• Coding
• Payor
• DME Billing
• Medical Terminology

Description:This position provides support for recovering back-end revenue by ensuring timely and accurate processing of patient accounts to third party payors and patients/guarantors.Promotes and maintains a professional and positive patient and family experience as the last impression of the organization.Responsible for resolving front end claim edits to ensure accurate and timely clean claim submission to third party payors for adjudication.Follows up on outstanding patient accounts to clarify reasons for delayed and/or delinquent processing and resolving technical denials to ensure accurate and timely processing in order to reconcile outstanding balances.Additional responsibilities are defined as those specific duties relating to the various revenue cycle functions as assigned by the Revenue Cycle Practice Manager, Team Goals, and Organizational job performance standards.

Required Skills & Experience:Knowledge and understanding of medical terminology.Knowledge and understanding of commercial insurance carriers and standard insurance forms.Strong computer aptitude, including knowledge of Microsoft Office (Word, Excel, Outlook).Demonstrated strength in customer service, organization, attention to detail, and the ability to work independently.Demonstrated ability to work and problem solve in a collaborative manner within the department and organization.Demonstrated ability to multi-task and respond quickly/reprioritize changing needs.

Preferred Skills & Experience:One (1) to three (3) years of experience in customer service, administrative, or healthcare setting.

Required Education:High School Diploma/GED.Advanced education (Associate or Bachelor’s degree) preferred.