Patient Account Representative-Full time- Waterloo-on site

MercyOne; Waterloo (IA); On-site; USD 32,000 - 42,000; Full time

Job summary

MercyOne Health System in Waterloo, IA seeks a Patient Account Representative to manage registration and billing for third-party payers. The role involves claims processing, follow-up on denials, and coordinating with patients and physicians to resolve billing issues.

Day shift, full-time position within MercyOne’s financial services team. Requires basic medical office experience and knowledge of insurance claim processes, with preferred accounting background.

Qualifications

• 0-2 years minimum, 6 months medical office or insurance experience.
• High school or GED.
• Associates degree: accounting preferred.
• Billing experience preferred.
• Experience with Brightree a plus.

Responsibilities

• Receives claims and ensures clean copy is sent to insurance company.
• Follows up on claims on first-time billings and resolves discrepancies with insurers.
• Resolves billing issues with insurance companies, patients and physicians’ offices.
• Registration functions: create accounts and enter charges.
• Adheres to safety policies and performs duties in a health-system environment.

Skills

Medical office experience

Insurance claims processing

Data entry

Education

High school or GED

Associates degree in accounting (preferred)

Tools

Brightree

Job description

Employment Type: Full time Shift: Day Shift Description: Join the MercyOne Family! We are looking to hire a Patient Account Representative!

You will Assists be r esponsible for registration and billing to third party payers for Wheaton Franciscan Healthcare-IA. Adheres to Wheaton Franciscan Healthcare’s performance expectations and performs all defined services and other related duties in accordance with the mission of Wheaton Franciscan Healthcare.

Schedule:

• Mon-Fri 0730-1600

General Requirements:

1. Receives claims and ensures clean copy is sent to insurance company.

• Reviews paper claim and fills in locators for insurance company and updates series when needed.
• Transfers corrections onto computer system.
• Sends claim to insurance company (electronically or via mail).
• Maintains knowledge of current standards with insurance company and assure compliance.

2. Follows up on claims on first-time billings and takes action as appropriate.

• Resolves discrepancies in bill payment by following up with insurance company.
• Initiates correspondence between insurance company and patient.
• Determines appropriate action to take (i.e., resubmitting claim, billing patient, billing secondary insurance).

3. Resolves billing issues with insurance companies, patients and physicians’ offices.

• Follows up on correspondence with customers.
• Initiates communication with other health system departments for clarification.
• Responds to customer inquiries via phone and takes appropriate action.
• Communicates results of investigations to customers.
• Documents all communications and actions in series system completely.

4. Registration functions.

• Creates an account from clinic encounters
• Enters charges into computer system.

5. Adheres to all safety, infection control and employee health policies and procedures.

• Attends required safety programs.
• Appropriately and consistently uses the personal protective equipment required of the job.
• Knows and can demonstrate departmental emergency procedures for fire, disaster and other emergency situations.
• Reports and removes unsafe equipment/furniture.
• Asks for assistance when needed to assure safety for all involved.
• Maintains a safe working environment and practices safe working habits.

MINIMUM QUALIFICATIONS

• Basic Skill Set
• 0-2 Years-Minimum of 6 months medical office or insurancce experience
• High school or Equivalen (GED)
• Associates Degree: degree in accounting prferred
• Billing experience preferred
• Experience with Brightree a plus!

• Colleagues ofMercyOneHealth System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system !

Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.