Patient Account Representative-Insurance

1.0 FTE - Day Shift **REMOTE position, Work MUST be performed from within the State of Minnesota. **

Starting Pay - $23.18 to $28.97 (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.