Patient Account Rep1

LifeCare Medical Center; Roseau (MN); On-site; USD 38,000 - 60,000; Full time

Job summary

LifeCare Medical Center in Roseau, MN is seeking a claims processor who reviews and processes insurance forms for inpatient and outpatient services, assisting customers with claim status questions and monitoring workflow to ensure timely payments.

You will obtain missing information, submit to secondary payers when needed, follow up on denials, and collaborate with coders on trends and process improvements, while supporting patients and contributing to our patient-centered care.

Qualifications

• Previous experience with insurance claims preferred.
• Good verbal and written communication skills.
• Problem solving abilities.
• Knowledge of medical terminology preferred.

Responsibilities

• Review and process all insurance forms for inpatient and outpatient services to payers by monitoring WQs daily.
• Obtain missing insurance information for any open accounts via websites or phone calls.
• Run necessary reports for batches and submit claims to secondary insurance when appropriate.
• Review WQs for outstanding or denied claims and follow up with calls or make necessary adjustments to re-submit claims in a timely manner.
• Assist patients with problems concerning their accounts and provide pertinent information.
• Obtain information for Liability and Workers Comp claims and provide data for WC Interventions.
• Work with coders on denial trends and potential process improvements.
• Actively search for updates to insurance billing practices and implement new changes.

Skills

Insurance claims

Communication

Detail oriented

Problem solving

Medical terminology

Education

High School or better in General Studies

Job description

LifeCare Medical Center
Roseau, MN 56751, USA

Description

Highlights of your role:

Responsible for reviewing and processing appropriate insurance claims for Inpatient and Outpatient accounts. Assists customers with questions regarding their claim status. Monitors claim flow through WQs and follows up on unpaid claims.

We invite you to join our team as we continue on our commitment of caring for generations.

Since 1915, LifeCare Medical Center has been dedicated to providing quality healthcare in our region. At LifeCare Medical Center, we value every person and take our patient’s healthcare needs seriously. Our employees are the foundation for our success. We’ve fostered a collaborative environment centered around compassion, accountability, respect and excellence. At LifeCare, you will have the opportunity to thrive in a life changing career, within a culture of teamwork, professionalism, and respect. As the third largest employer in Roseau County, LifeCare Medical Center is continually looking for motivated, dedicated, and compassionate leaders who are passionate about delivering the best in healthcare services. We are committed to our communities and take pride in our medical heritage.

* It is not typical for an individual to be hired at or near the top of the range for their role. Compensation decisions are dependent on the facts and circumstances of each case and on several factors including relevant work experience, education, certification & licensure, and internal equity. Hourly pay is just one part of the compensation package for employees.

What you’ll get to do in this role:

Responsible for reviewing and processing all insurance forms for inpatient and outpatient services to payers by monitoring WQs daily.

Obtains missing insurance information for any open accounts via websites or phone calls

Runs necessary reports for batches and submits claims to secondary insurance when appropriate

Reviews WQs for outstanding or denied claims and follows up with calls or makes necessary adjustments to re-submit claims in a timely manner

Assists patients with problems concerning their accounts and provides pertinent information

Obtains information for Liability and Workers Comp claims & provides data for WC Interventions

Works with coders on denial trends and potential process improvements

Actively searches for updates to insurance billing practices and implements new changes

You're an excellent fit, if you have:

• previous experience with insurance claims preferred
• good verbal and written communication skills
• problem solving abilities
• knowledge of medical terminology preferred

Benefits statement:

LifeCare Medical Center offers an attractive benefits package for qualifying employees. Depending upon eligibility, we offer a variety of benefits including health, dental, and life insurance. We also offer short and long-term disability, tuition assistance, a 403(b)-retirement plan, and a generous time off package to help employees maintain a healthy work-life balance.

The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.

LifeCare Medical Center is an Equal Opportunity Employer (EOE)

Qualifications

Skills

Preferred

Communication

Expert

Computer

Expert

Detail Oriented

Expert

Expert

Problem Solving

Expert

Tactful

Expert

Education

Preferred

High School or better in General Studies.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.