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Patient Account Representative II
2 months ago
Cleveland Clinic is seeking a highly skilled Patient Account Representative II to join our team. As a key member of our revenue cycle management functional unit, you will play a critical role in ensuring the timely and accurate resolution of patient and insurance inquiries.
Key Responsibilities- Recommend and execute policies and procedures to ensure timely resolution of patient service and third-party reimbursement issues.
- Perform customer service, insurance billing, and follow-up processes for commercial and government payers, insurance verification, cash application, credit balance resolution, and/or account reconciliation.
- Provide input to management regarding reimbursement and customer service-related issues obtained from various insurance companies, outside agencies, and patients.
- Recommend and execute changes to customer service programs in accordance with changes in insurance regulations from data obtained from various groups.
- Provide feedback to supervisor to assist the department liaison with various departments and physicians in regards to various issues, including diagnosis coding.
- Comply and assist with the implementation of management reporting systems to ensure accurate and timely reporting of department goals and results.
- Assist with the development, implementation, and execution of a quality control program for the timely and accurate resolution of patient and insurance inquiries.
- High School Diploma or GED required.
- An Associate's degree may offset one year of the experience requirement.
- A Bachelor's degree may offset the two-year experience requirement.
- Minimum two years of experience in a patient account or financial environment.
- Knowledge of patient accounts, including customer service, insurance processing, insurance verification, and cash application.
- Knowledge of additional specialized functions may be required, such as third-party payors, Medicare processing, hospital and physician billing, and pricing, CPT4/ICD code application.
- Excellent verbal and communication skills.
This role requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Pay RangeThe pay range for this role is $15.75 - $21.65 per hour. A successful candidate's actual compensation will be determined after taking factors into consideration, such as work history, experience, skill set, and education.
