Patient Account Representative-Full time- Waterloo-on site

MercyOne Medical Group; Waterloo (IA); On-site; USD 32,000 - 50,000; Full time

Job summary

MercyOne Medical Group in Waterloo, IA seeks a Patient Account Representative to handle registration and billing for third-party payers. You will ensure accurate data entry, submit claims electronically or by mail, and maintain knowledge of payer requirements in line with MercyOne Healthcare standards.

The role emphasizes timely claim follow-up, resolving payment discrepancies, coordinating with patients and physicians, and adhering to safety and system procedures.

Qualifications

• Minimum 0–2 years medical office or insurance experience.
• High school diploma or GED.
• Associate degree in accounting preferred.

Responsibilities

• Register and bill third-party payers for services.
• Ensure claims are clean and sent to insurance, electronically or by mail.
• Follow up on first-time billings and resolve discrepancies with payers.
• Resolve billing issues with insurance companies, patients and physicians’ offices.
• Enter charges into the computer system and maintain proper documentation.
• Adhere to safety, infection control and department procedures.

Skills

Medical office experience

Insurance billing

Customer service

Brightree

Education

High school diploma or GED

Associate degree in accounting

Tools

Brightree

Job description

Employment Type:Full timeShift:Day ShiftDescription:Join theMercyOneFamily!We are looking to hireaPatient Account Representative!

You will Assistsbe responsible 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

• 0-2 Years-Minimum of 6 months medical office or insurance experience
• High school or Equivalent (GED)
• Associate's degree: degree in accounting preferred
• Billing experience preferred
• Experience with Brightree a plus!
  

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

Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you atMercyOneHealth Systemcircleofcare.

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.