Patient Account Rep

Ridgeview; Minneapolis (MN); On-site; USD 42,000 - 54,000; Full time

Job summary

Ridgeview Medical Center is seeking an accounts receivable professional responsible for submission, reconciliation and collection of all AR for the hospital. The role involves posting payments, resolving billing issues and responding to inquiries from payers and patients.

Ideal candidates will have a High School Diploma and at least 1 year of medical billing experience or proven problem-solving, attention to detail and the ability to work in a team with strong English communication skills.

Qualifications

• High School Diploma or equivalent.
• 1 year of professional medical billing experience or demonstrated problem solving, attention to detail, and initiative.

Responsibilities

• Process claim submissions and resubmissions after corrections.
• Review aging accounts receivable and monitor insurance claims.
• Post payments accurately to patient accounts.
• Answer inquiries regarding insurance and billing.
• Perform remittance reconciliation.
• Provide courteous customer service to internal and external customers.
• Stay updated on insurance policies and billing guidelines.
• Perform other duties as assigned.

Skills

Claim submission

Communication skills

Analytical skills

Attention to detail

Teamwork

Microsoft Office

Basic math

Education

High School Diploma

Medical billing experience

Job description

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.

Brief Description

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 Diploma 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

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.

License/Certification

Physical Demands

Link to Employee Health Physical Demands