Patient Account Rep- Diversified Business-Hybrid

Mayo Clinic; Rochester (MN); Hybride; USD 28 000 - 43 000; Plein temps

Résumé du poste

Mayo Clinic in Rochester, MN, seeks an institutional insurance and reimbursement expert for a hybrid role located within 100 miles of Mayo campuses. You will manage all aspects of billing, pre-certifications, insurance reviews, denials and rebilling across multiple lines for patients and internal customers.

Ideal candidates have healthcare billing experience, strong communication and problem-solving skills, and proficiency with Windows, Word, Excel and common claims software.

Qualifications

• Must have strong human relations, communication, problem solving, and organizational skills.
• Experience with medical, pharmacy or equipment billing a plus.
• Ability to interact with patients and internal customers professionally.

Responsabilités

• Handle billing and collection processes across multiple lines (outpatient pharmacy, DME, SNF, home health, CCRCs).
• Pre-certification, coverage reviews, payments, denials, rebilling and appeals.
• Communicate Mayo Clinic policies to optimize reimbursement and patient care.

Connaissances

Customer service

Communication

Problem solving

Organizational skills

Formation

Associate degree in finance/business/healthcare

High school diploma/GED

Certified pharmacy technician

Outils

Windows software

Microsoft Word

Microsoft Excel

Internet

Keyboarding

Claims management software

Description du poste

Why Mayo Clinic

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.

Why Mayo Clinic

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.

Benefits Highlights

• Medical: Multiple plan options.
• Dental: Delta Dental or reimbursement account for flexible coverage.
• Vision: Affordable plan with national network.
• Pre-Tax Savings: HSA and FSAs for eligible expenses.
• Retirement: Competitive retirement package to secure your future.

Responsibilities

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.

Qualifications

Associate Degree in finance, business or healthcare related majors and 1 year experience in medical, pharmacy or durable medical equipment billing and collection activities

OR

High School diploma/GED with at least 3 years’ experience in medical, pharmacy or durable medical equipment billing and collection activities, or certified pharmacy tech with 2 years of experience.

Ideal candidate

will have pharmacy experience and submitting prior authorizations.

CPHT, MAA, or LPN preferred.

Qualified candidate must possess strong human relations, communication, problem solving, and organizational skills to interact with a variety of customers and personnel, both within and outside the institution. Must be able to work independently and in a team environment. Candidate should have experience working with Windows based software, Microsoft Word, Excel, and the Internet. Keyboarding experience required. Claims management software experience desired. Healthcare Financial Management Association (HFMA) Certification Preferred.

• This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position. During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.

Exemption Status

Nonexempt

Compensation Detail

$20.31 -$31.06 / hour

Benefits Eligible

Yes

Schedule

Full Time

Hours/Pay Period

80

Schedule Details

8-5 in applicants time zone. Weekends and evenings as needed based on volume.

International Assignment

No

Site Description

Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.

Equal Opportunity

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law" . Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.