Patient Account Rep

Ridgeview; Fort Snelling Unorganized Territory (MN); Hybrid; USD 42,000 - 54,000; Full time

Job summary

Ridgeview Medical Center seeks a Billing Specialist to manage the submission, reconciliation and collection of accounts receivable. You will submit claims to third‑party payers, reconcile remittances and resolve billing inquiries to maintain accurate patient accounts.

Requires a high school diploma and about 1 year of medical billing experience. After successful training, there is an opportunity to work remotely; strong communication and analytical skills are essential.

Qualifications

• High school diploma or equivalent.
• About 1 year of medical billing experience.
• Ability to communicate in English and provide customer service in a professional manner.

Responsibilities

• Submit claims to third-party payers and review for corrections.
• Reconcile remittances and postings to patient accounts.
• Review aging accounts receivable and follow up on outstanding claims.
• Answer inquiries regarding billing and insurance concerns.
• Perform remittance reconciliation.
• Guide external customers to the proper resources for questions.
• Provide professional and courteous customer service to internal and external customers.
• Maintain knowledge of insurance company policies and billing guidelines.
• Perform other duties as assigned.

Skills

Claim submission

Analytical skills

Basic math

Microsoft Office

Effective communication

Teamwork

Autonomy

English proficiency

Problem solving

Attention to detail

Education

High school diploma

Tools

Microsoft Office

Job description

Brief Description

This position has the opportunity to work remotely after successful completion of training.

Purpose of Job

This position is responsible for the submission, reconciliation and collection of all accounts receivable for Ridgeview Medical Center. Reports and submits claims to third party payers. Answers inquiries and provides customer service in the resolution of billing issues and account balances. Primary focus is in one of the following areas: Payment posting, collections, accounts receivable management, remittance reconciliation.

Job Functions

• Reviews clearinghouse transactions. Reviews rejections for claim corrections, makes appropriate changes, and generates claim for submission or corrected claim.
• Reviews aged accounts receivables, monitors and works outstanding insurance claims.
• Assures payments are posted accurately and timely to patient accounts.
• Answers inquiries regarding insurance and/or billing concerns and follow-up with peer source when needed.
• Completes remittance reconciliation.
• Assists and refers external customers to proper resources for questions.
• Provides professional and courteous customer service to internal and external customers.
• Maintains knowledge on insurance companies policies and billing guidelines.
• Performs other duties as assigned.

Minimum Education/Work Experience

• High school graduate or equivalent
• 1 year professional medical billing experience or performance history with demonstrated ability to problem solve, provide attention to detail and take initiative

Knowledge/Skills/Abilities

• Demonstrated skills in claim submission
• Ability to meet and maintain the necessary background checks as aligned with position functions
• Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above
• Analytical skills
• Ability to respond appropriately to unpredictable situations and diverse patient populations
• Ability to work autonomously and as a team
• Capable of making independent decisions with the use of good critical thinking and problem solving skills
• Knowledge of basic computer functions and Microsoft Office applications
• Ability to multi-task
• Ability to serve patients in a friendly and efficient manner
• Ability to perform basic math functions
• Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above

Preferred Qualifications

• Familiar with medical terminology

Physical Demands

Link to Employee Health Physical Demands

Compensation

Many factors are taken into consideration when determining compensation such as: the requirements of the position, experience, education, knowledge, and skills along with location and internal equity. Pay listed does not include any shift, weekend, or other differentials.

Benefits

Ridgeview strives to provide comprehensive and market competitive benefits to meet the needs of our employees and their families.