Current jobs related to RCM Representative Sr, Third-Party Claims - Minneapolis - Hennepin County Medical Center
-
Senior RCM Representative for Third-Party Claims
4 weeks ago
Minneapolis, Minnesota, United States Hennepin County Medical Center Full timeJob SummaryWe are seeking a highly skilled Senior RCM Representative to join our Third-Party Claims team at Hennepin County Medical Center. As a key member of our revenue cycle team, you will be responsible for providing exceptional patient financial services, ensuring accurate and timely claims processing, and maintaining a high level of customer...
-
Minneapolis, Minnesota, United States Minnesota Visiting Nurse Agency Full timeJob Summary:We are seeking a highly skilled RCM Representative Senior to join our Third-Party Claims- HB & PB team. This full-time role will primarily work remotely and will be responsible for providing revenue cycle services to incoming and existing patients and their families.Key Responsibilities:• Gather patient information needed to provide services...
-
Minneapolis, Minnesota, United States Minnesota Visiting Nurse Agency Full timeJob SummaryWe are seeking a highly skilled RCM Representative Senior to join our Third-Party Claims team. This full-time role will primarily work remotely and will be responsible for providing revenue cycle services to incoming and existing patients and their families.Key ResponsibilitiesGather patient information needed to provide services such as following...
-
Senior RCM Representative
2 weeks ago
Minneapolis, Minnesota, United States Hennepin County Medical Center Full timeJob SummaryWe are seeking a highly skilled Senior RCM Representative to join our Third-Party Claims team at Hennepin County Medical Center. As a key member of our revenue cycle team, you will be responsible for providing exceptional customer service and ensuring timely and accurate processing of patient claims.Key ResponsibilitiesGather and verify patient...
-
RCM Representative Senior
3 weeks ago
Minneapolis, Minnesota, United States Hennepin County Medical Center Full timeJob SummaryWe are seeking a highly skilled RCM Representative Senior to join our Third-Party Claims team at Hennepin County Medical Center. This full-time role will primarily work remotely and will be responsible for providing revenue cycle services to incoming and existing patients and their families.Key ResponsibilitiesGather patient information and...
-
Research Analyst
2 months ago
Minneapolis, United States Calculated Hire Full timeBusiness Execution Consultant IIIOnsite – Charlotte, NC or Minneapolis, MN6-month Contract (W2), Weekly Pay (40 hours/week)Desired Start Date: 10/7/2024Calculated Hire is in search of a Business Execution Consultant III for our Fortune 100 Financial Services company. You will be responsible for the following components:In this role, you will:•...
-
Senior Insurance Claims Specialist
2 weeks ago
Minneapolis, Minnesota, United States UnitedHealth Group Full timeKey ResponsibilitiesAs a Senior Insurance Representative, you will be responsible for understanding and adhering to department procedures to ensure accurate and timely claims submissions and corrections. You will utilize various resources, including third-party publications and procedure manuals, to ensure compliance with production standards.Key...
-
Customer Service Representative
1 month ago
Minneapolis, Minnesota, United States R1 RCM Full timeJob SummaryWe are seeking a highly skilled and compassionate Customer Service Representative to join our team at R1 RCM Inc. in the Emergency Department. As a key member of our patient registration team, you will play a vital role in ensuring the smooth and efficient registration process for our patients.Key ResponsibilitiesCollect and accurately input...
-
Claim Examiner- WC
1 month ago
Minneapolis, United States Hornet Staffing Full timeDescription: Receives claim assignment, confirms policy coverages and directs acknowledgement of claims. Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted. Investigates, evaluates, negotiates and adjudicates first and third party claims to...
-
Claim Examiner- WC
3 days ago
Minneapolis, United States TalentBurst Full time33887906 Claim Examiner- WC Location : 3433 Broadway St NE, Suite 330, MN0004 Pay rate : $30.51 Duration : 1-2 Months+ 100 % REMOTE HM Notes : Must have experience handling MN WC claims Job Description: Receives claim assignment, confirms policy coverages and directs acknowledgement of claims- Interprets and makes decisions using independent judgment on...
-
Catastrophe Property Claim Representative
1 month ago
Minneapolis, Minnesota, United States 020 Travelers Indemnity Co Full timeAbout the RoleWe are seeking a highly skilled Catastrophe Property Claim Representative to join our team at Travelers Indemnity Co. As a key member of our claims team, you will be responsible for handling first-party property claims of moderate severity and complexity.Key ResponsibilitiesInvestigate and evaluate claims to determine coverage, damages, and...
-
Senior Property Claims Representative
2 weeks ago
Minneapolis, Minnesota, United States Fox Point Recruitment LLC Full timeJob Title: Senior Property Claims RepresentativeAre you looking for a rewarding career where you can make a difference in people's lives? Our client in the financial services sector is seeking a Senior Property Claims Representative to join their field claims team.This role operates in a work-from-home and virtual office environment with a mobile...
-
Senior Property Claims Representative
1 week ago
Minneapolis, Minnesota, United States Fox Point Recruitment LLC Full timeAre you looking for a rewarding career where you can make a difference in people's lives? Our client in the financial services sector is seeking a Senior Property Claims Representative to join their field claims team.This role operates in a work-from-home and virtual office environment with a mobile office/company vehicle to work from and utilize for...
-
Claims Representative
1 month ago
Minneapolis, Minnesota, United States Western National Insurance Group Umialik Insurance Company Full timeJob Title: Claims RepresentativeWe are seeking a skilled Claims Representative to join our team at Western National Insurance Group / Umialik Insurance Company. As a Claims Representative, you will be responsible for investigating, evaluating, negotiating, and resolving multi-line insurance claims.Key Responsibilities:Handles high volume, low-to-moderate...
-
Claims Representative
2 weeks ago
Minneapolis, Minnesota, United States Western National Insurance Group Umialik Insurance Company Full timeJob Title: Casualty Claims RepresentativeWe are seeking a highly skilled and detail-oriented Casualty Claims Representative to join our team at Western National Insurance Group / Umialik Insurance Company.Job Summary:The Casualty Claims Representative will be responsible for investigating, evaluating, negotiating, and resolving multi-line insurance claims....
-
Sr Manager, Claims
4 days ago
Minneapolis, United States Target Full timeThe pay range is $89,700.00 - $161,500.00Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target...
-
Customer Service Representative
4 weeks ago
Minneapolis, Minnesota, United States Fairview Health Services Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Customer Service Representative to join our team at Fairview Health Services. As a Customer Service Representative, you will be responsible for providing exceptional customer service to patients and employees, responding to billing questions and concerns, and performing insurance and patient pay...
-
Customer Service Representative
5 months ago
Minneapolis, United States Fairview Health Services Full time**Customer Service Representative - HC** CAROUSEL_PARAGRAPH * Minneapolis, Minnesota * Non-Clinical Support Staff * 90250 ** Share Job** ** Job Description** **Overview** The Customer Service Representative is responsible for responding and providing information to patients and employees regarding billing questions and concerns. The CSR informs patients...
-
Minneapolis, Minnesota, United States HealthPartners Full timeJob SummaryThe Patient Account Representative - Billing and Credit Balance is a critical role in ensuring the accurate and timely resolution of claims and refunds. This position is responsible for billing follow-up and collection on assigned accounts with appropriate payers, including governmental agencies, attorneys, patients, and insurance companies. The...
-
Sr. Test Engineer
2 days ago
minneapolis, United States Redbock - an NES Fircroft company Full timeCanidate' must be an active GC Holder or US Citizen, No Visa Sponsorship can be provided ** NO C2C OR THIRD-PARTY CANDIDATES CAN BE CONSIDERED**Sr. Test Engineer (6-month contract // Minneapolis, MN):Top 3 Skills Required:Test Method Development and ValidationInstallation QualificationGage R&R Studies- attribute and variable methodsPrimary...
RCM Representative Sr, Third-Party Claims
4 months ago
Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc., a subsidiary corporation of Hennepin County.
Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization.
SUMMARY
We are currently seeking an RCM Representative Senior to join our Third-Party Claims- HB & PB team. This full-time role will primarily work remotely (SHIFT: Day).
Purpose of this position: Working under general supervision, provides revenue cycle services to incoming and existing patients and their families either in person or by telephone. Responsible for gathering patient information needed to provide services such as following up on complex claim issues, financial clearance, customer service or admission. Work will be assigned via a work queue in the electronic health record system.
Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Maryland, Nevada, North Carolina, North Dakota, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin.
RESPONSIBILITIES
- Gathers information from patients, clients/family members, HCMC clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services
- Requests, inputs, verifies, and modifies patient's demographic, primary care provider, and payor information
- Utilizes tools, including computer programs, when indicated
- Makes appropriate referrals (i.e. Patient Financial Care Specialists, Collections Specialists) as appropriate
- Provides excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
- Answers questions (by phone and in-person) and provides quotes for services (including discounts), identifies financial resources, etc. in accordance with HCMC policies and procedures
- Utilizes various databases and specialized computer software for financial care activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.
- Establishes plans (patient liabilities, payment, etc.) and conducts follow up activities related to those plans
- Inputs, retrieves, and modifies information and data stored in computerized systems and programs; generates reports using computer software
- Explains charges, answers questions, and communicates a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies
- Works with Claims and Collections (both internally and with collection agencies) in order to assist patients and their families with billing and payment activities in order to increase cash flow
- Other duties as assigned
QUALIFICATIONS
Minimum Qualifications:
- 2 years clerical experience in health care revenue cycle operations: billing/claims, patient accounting, collections, admissions, registration, etc.
- Bi-lingual strongly preferred, required in some positions
-OR-
- An approved equivalent combination of education and experience
Preferred Qualifications:
- Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteria
- Excellent verbal and written communication and interpersonal skills
- Ability to work independently with minimal supervision, within a team setting and be supportive of team members
- Proficient with Microsoft Office
- Ability to analyze issues and make judgments about appropriate steps toward solutions
- CRCR (Credentialed Revenue Cycle Representative) preferred
Knowledge/Skills/Abilities:
- Knowledge of patient billing claims process
- Ability to communicate with patients and families under sometimes stressful circumstances
- Strong telephone communication skills
- Experience with electronic health record or similar software program
- Knowledge of payor programs
- Knowledge of applicable federal and state regulations
You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer.
Please Note: Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements.
Department: Third-Party Claims- HB & PBPrimary Location: MN-Minneapolis-Downtown Campus Standard Hours/FTE Status: FTE = 1.00 (80 hours per pay period)Shift Detail: DayJob Level: StaffEmployee Status: Regular Eligible for Benefits: YesUnion/Non Union: Union Job Posting: May-31-2024EEO/Disability/Veteran employer.
