Patient Accounts Representative- Insurance

Alomere Health; Alexandria (MN); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider is seeking a Patient Accounts Representative- Insurance to manage insurance claims and resolve billing inquiries. The role is primarily remote after training and requires a high school diploma with a preference for related medical administrative experience. Offers full-time benefits including health and retirement plans.

Benefits

Health, Dental, and Vision Insurance

Employee Health Clinic

Retirement Savings (P.E.R.A)

Qualifications

• High school diploma or equivalent is required.
• Preferred: Medical Administrative Assistance Program or equivalent experience.

Responsibilities

• Handle workflow of insurance claims and patient billing inquiries.
• Resolve insurance denials and process claims.
• Maintain working relationships with Coding departments.

Skills

Knowledge of 1500 form and UB form

Ability to identify and process insurance company and self-pay refunds

Ability to read Explanation of Benefits

Knowledge of navigating insurance websites

Ability to read electronic RTE's from insurance companies

Knowledge of Provider Based Billing

Understanding HIPAA rules and regulations

Education

High school diploma or Equivalent

Medical Administrative Assistance Program or Equivalent Experience

Job description

Patient Accounts Representative- Insurance

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Patient Accounts Representative- Insurance

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This range is provided by Alomere Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$18.70/hr - $26.18/hr

Department: Patient Accounting

Position Status: 1.0 (80 hours)

Hours: Monday-Friday 8am-4:30pm

95% remote once trained (training will be done in office).

Benefit Status: Full-time

Benefits Include

• Health, Dental, and Vision Insurance
• Employee Health Clinic (health +): Our health+ clinic provides office visits and prescription medications for little to no cost to Alomere Health employees and their dependents who are on a medical insurance plan
• Retirement Savings (P.E.R.A)- All eligible employees of Alomere Health are automatically enrolled in PERA (Public Employees Retirement Association). All eligible employees contribute 6.5% of their salary to PERA and Alomere Health contributes 7.5%
• Please see more details about our benefits here: Jobs in Alexandria, MN - Alomere Health
  
  

Position Objective

The Patient Accounts Representative- Insurance is responsible for all aspects of the Insurance position related to the workflow of the department, including customer service and working with Insurance companies to resolve claim issues and patients to resolve billing questions. It is essential that the accounts receivable be kept as low as possible, therefore, it is of utmost importance that the Accounts Representative is as current as possible at all times in terms of claim processing and follow-up of lagging payments.

Essential Responsibilities

Patient Account Services (Insurance) Service Delivery

• Working primary and secondary claim edits in Software for the Clinic/Hospital and also our Clearing House
• Resolve insurance denials, process late changes, follow-up on unpaid claims
• Prepare and submit hospital claims and clinic claims to third-party insurances either electronically or by hard copy billing
• Maintain close working relationships with the Coding departments in verifying coding, documentation and billing regulations
• Resubmit claims with corrections and/or additional documentation to support the level of care
• Keep updated on all third-party billing requirements and changes for insurance types within the area of responsibility
• Work with facilities to resolve overlapping or denial issues on Hospital/PBB billing issues
• Assist with Patient Access/Admitting staff when they call with questions on the different types of insurance and be able to answer them fluently
• Respond to patients questions to resolve billing questions and concerns
• Forward unresolved issues to the appropriate party and document all phone calls electronically
  
  

Other Responsibilities

• Perform all other related duties as assigned in a professional and responsive manner
• Demonstrate the ability to use relevant equipment
• Support, understand, and promote Alomere Health’s mission, vision, values, policies and procedures
• Ability to meet the work schedule requirements with flexibility dependent upon the needs of the department
• Foster respectful working relationships with professional colleagues, patients, families, and general public regardless of age, gender, lifestyle, culture, beliefs, race, socioeconomic class, or ability
  
  

Required Qualifications

• High school diploma or Equivalent
  
  

Preferred Qualifications

• Medical Administrative Assistance Program or Equivalent Experience
  
  

Knowledge, Skills And Abilities

• Knowledge of a 1500 form and a UB form
• Ability to identify and process insurance company and self-pay refunds when needed
• Ability to read an Explanation of Benefits and work on solving COB claims
• Knowledge of navigating insurance websites to verify eligibility, adjudication information and coverage issues pertaining to a specific insurance company
• Ability to read electronic RTE’s that come back from the insurance companies
• Knowledge of Provider Based Billing
• Understanding and ability to apply HIPPA rules and regulations
  
  

Union Position: No

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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