患者账户代表（保险）
Patient Account Representative Insurance
1.0 FTE - 白班 **这是一个远程职位。**
起薪 - 23.18 美元至 34.77 美元（根据经验而定）
对外部候选人的报价通常在该范围的最低值和中点之间，具体取决于经验。
在奥尔姆斯特德医疗中心，我们重视员工，并致力于提供全面且具有竞争力的福利包。为了跟上不断变化的趋势，奥尔姆斯特德医疗中心为以 0.5 FTE 或更高比例雇佣的员工提供以下福利。
- 医疗保险
- 牙科保险
- 视力保险
- 基础人寿保险
- 学费报销
- 雇主支付的短期残疾和长期残疾保险
- 领养援助计划
资格要求：
- 需要大学证书、副学士学位或相关经验
- 有医疗计费、患者账户或医疗收入周期运营经验者优先
- 熟悉保险公司、计费流程、索赔提交和报销流程
- 有索赔跟进、拒赔管理和申诉经验者优先
- 注重细节，具备有效的解决问题能力
- 熟练使用计算机，能够学习计费系统、软件，并能浏览保险公司网站和门户
- 能有效沟通，与保险公司、内部部门、团队成员和患者互动
- 具备良好的数学能力，对收入周期有基本理解
- 了解基于提供者的计费（PBB）者优先
- 能够在快节奏环境中独立工作并作为团队一员完成多项任务
工作职责：
- 在提交保险索赔前进行审查，识别并解决错误，确保符合保险公司指南的准确及时计费。
- 监控索赔状态，并就延迟或未付款的索赔与保险公司进行跟进。
- 与保险公司和患者合作审查并解决被拒的索赔。
- 准确地将保险付款、调整和回执活动录入患者账户。
- 调查并解决信用余额和计费差异。
- 回应与计费和保险相关的内部和外部查询。
- 在计费系统中记录所有操作和跟进活动。
- 保持对保险公司指南、更新、保险公司网站和门户的最新了解。
- 支持部门流程和工作流的开发与实施。
- 积极参与部门工作
查看英文原文
1.0 FTE - Day Shift **This is a remote position. **
Starting Pay - $23.18 to $34.77 (based on experience)
Offers for external candidates are generally made between the minimum and midpoint of the range, based on experience.
At Olmsted Medical Center, we value our employees and are committed to providing a comprehensive and competitive benefits package. To keep up with the evolving trends, Olmsted Medical Center offers the following for employees who are employed at a 0.5 FTE or higher.
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Basic Life Insurance
- Tuition Reimbursement
- Employer Paid Short-Term Disability and Long-Term Disability
- Adoption Assistance Plan
Qualifications:
- College Certificate, Associate’s Degree, or equivalent related experience required
- Experience in medical billing, patient accounts, or healthcare revenue cycle operations preferred
- Knowledge of insurance payers, billing processes, claim submission, and reimbursement workflows
- Experience with claim follow-up, denial management, and appeals preferred
- Strong attention to detail and effective problem-solving skills
- Proficiency with computers with the ability to learn billing systems, software, and navigate payer websites and portals
- Effective communication to interact with insurance companies, internal departments, team members and patients
- Strong math skills with a basic understanding of the revenue cycle
- Understanding of Provider Based Billing (PBB) preferred
- Ability to manage multiple tasks independently and as part of a team in a fast-paced environment
Job Responsibilities:
- Reviews insurance claims prior to submission to identify and resolve errors, ensuring accurate and timely billing in accordance with payer guidelines.
- Monitors claim status and follows up with insurance carriers on delayed or unpaid claims.
- Reviews and resolves denied claims in collaboration with payers and patients.
- Posts insurance payments, adjustments, and remittance activity accurately to patient accounts.
- Investigates and resolves credit balances and billing discrepancies.
- Responds to internal and external inquiries related to billing and insurance.
- Documents all actions and follow-up activities within the billing system.
- Maintains current knowledge of payer guidelines, updates, payer websites and payer portals.
- Supports development and implementation of department procedures and workflows.
- Participates actively in department meetings, focus groups, training opportunities, and process improvement initiatives.
- Maintains data integrity within billing systems by following established workflows and standards.
- Reviews reports and work queues to support A/R goals.
- Performs other duties as assigned.
Originally posted on Himalayas