Patient Account Rep- Diversified Business-Hybrid

Mayo Clinic; Jacksonville (FL); Hybrid; USD 60.000 - 90.000; Vollzeit

Zusammenfassung

Mayo Clinic in Jacksonville is seeking an Institutional Insurance and reimbursement expert for multiple business lines. The hybrid position requires proximity to Mayo Clinic campuses (within 100 miles) and involves handling billing, denials, pre-certification, and AR management to optimize patient and Mayo Clinic reimbursement.

Responsibilities include communications with patients and staff, applying Mayo Clinic policies, and supporting accurate, timely claim submissions and appeals where

Qualifikationen

• Experience with insurance pre-certification and denial management.
• Strong communication skills and ability to explain policies clearly.

Aufgaben

• Manage billing and collection processes for specified business lines.
• Perform pre-certification, coverage review and personal responsibility determinations.
• Communicate with patients and internal teams to resolve account issues.
• Submit claims, review denials, rebill, and file appeals as needed.
• Oversee accounts receivable and ensure timely reimbursement.

Kenntnisse

Insurance billing

Customer service

Jobbeschreibung

HYBRID: This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs.

Institutional Insurance and reimbursement expert for one or more of the following business lines: outpatient pharmacy, durable medical equipment, skilled nursing facility, home health agency or continuing care retirement center. Performs all aspects of the billing and collection processes for the individual business lines across the enterprise. These processes include service pre-certification, insurance coverage review and personal responsibility determination, communications with patients, claim submissions, denial review, rebilling, appeals, and accounts receivable management. Utilizes skills in problem solving, customer service, and communications (verbal and written) in interactions with patients and internal customers to resolve a variety of account, billing and payment issues for patients, physicians, nurses, pharmacists, technicians and social workers. Interprets, applies and communicates Mayo Clinic policies regarding financial aspects of patient care to assure optimal reimbursement for both the patient and Mayo Clinic.