Patient Account Rep-Diversified Business-Hybrid

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. We are dedicated to our employees, investing in competitive compensation and comprehensive benefit plans to support you and your family.

Responsibilities

HYBRID: This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs.

• 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, including:
  • Service pre-certification
  • Insurance coverage review and personal responsibility determination
  • Communications with patients
  • Claim submissions, denial review, rebilling, and appeals
  • Accounts receivable management
• Utilizes problem-solving, customer service, and communication skills (verbal and written) to resolve account, billing, and payment issues for patients and internal customers such as physicians, nurses, pharmacists, technicians, and social workers.
• Interprets, applies, and communicates Mayo Clinic policies regarding financial aspects of patient care to ensure optimal reimbursement for both the patient and Mayo Clinic.

Qualifications

• Associate Degree in finance, business, or healthcare-related majors and 1 year of 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 technician 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.
• Strong human relations, communication, problem-solving, and organizational skills to interact with a variety of customers and personnel, both within and outside the institution.
• Ability to work independently and in a team environment.
• Experience 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.

Benefits

• Medical: Multiple plan options.
• Dental: Delta Dental or reimbursement account for flexible coverage.
• Vision: Affordable plan with a national network.
• Pre-Tax Savings: HSA and FSAs for eligible expenses.
• Retirement: Competitive retirement package to secure your future.

Pay

$20.31 - $31.06 per hour

Schedule

• Full Time
• Hours per Pay Period: 80
• Schedule Details: 8:00 AM – 5:00 PM in applicant's time zone. Overtime as needed during times of high volume.
• Weekend Schedule: Not expected but may be asked during peak volumes.