Patient Billing & Reimbursement Specialist

Mayo Foundation for Medical Education and Research; Rochester (MN); Hybrid; USD 28,000 - 43,000; Full time

Benefits offered by this job

Hybrid work arrangement

Job summary

Mayo Clinic is hiring for a Health Financial Management role in Minnesota. This position handles billing, collection processes, pre-certification, and insurance reviews across multiple clinical lines.

The hybrid role requires proximity to Mayo Clinic campuses and emphasizes customer service and problem solving. The ideal candidate will have education in finance/healthcare billing with pharmacy tech experience and HFMA familiarity.

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 prior experience submitting outpatient pharmacy prior authorizations
• Prior pharmacy tech, LPN or MAA experience strongly preferred
• Healthcare Financial Management Association (HFMA) Certification 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
• This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.

Responsibilities

• 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
• Includes 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 with patients and internal customers to resolve account, billing and payment issues
• Interprets, applies and communicates Mayo Clinic policies regarding financial aspects of patient care to assure optimal reimbursement for both the patient and Mayo Clinic

Skills

Billing

Customer service

Communication

MS Office

Education

Associate Degree in finance/healthcare

High School diploma/GED

Certified pharmacy tech

Tools

Windows

Microsoft Word

Excel

Internet

Job description

Mayo Clinic is hiring for a Health Financial Management role in Minnesota. This position handles billing, collection processes, pre-certification, and insurance reviews across multiple clinical lines.

The hybrid role requires proximity to Mayo Clinic campuses and emphasizes customer service and problem solving. The ideal candidate will have education in finance/healthcare billing with pharmacy tech experience and HFMA familiarity.