Patient Account Representative-Full time- Waterloo-on site

About the role

Join the MercyOne Family! We are looking to hire a Patient Account Representative to assist with registration and billing to third party payers for Wheaton Franciscan Healthcare-IA.

Responsibilities

• Receives claims and ensures clean copy is sent to insurance company.
• Reviews paper claim and fills in locators for insurance company and updates series when needed.
• Sends claim to insurance company (electronically or via mail).
• Maintains knowledge of current standards with insurance company and assures compliance.
• Follows up on claims on first-time billings and takes action as appropriate.
• Solves discrepancies in bill payment by following up with insurance company.
• Determines appropriate action to take (i.e., resubmitting claim, billing patient, billing secondary insurance).
• Solves billing issues with insurance companies, patients and physicians’ offices.
• Follows up on correspondence with customers.
• Initiates communication with other health system departments for clarification.
• Responds to customer inquiries via phone and takes appropriate action.
• Documents all communications and actions in series system completely.
• Registers functions:
• Creates an account from clinic encounters.
• Enters charges into computer system.

Requirements

• Basic Skill Set:
• 0-2 Years - Minimum of 6 months medical office or insurance experience.
• High school or Equivalent (GED).
• Associates Degree: degree in accounting preferred.
• Billing experience preferred.
• Experience with Brightree a plus!

Qualifications

• Adheres to Wheaton Franciscan Healthcare’s performance expectations and performs all defined services and other related duties in accordance with the mission of Wheaton Franciscan Healthcare.
• Attends required safety programs.
• Uses the personal protective equipment required of the job.
• Knows and can demonstrate departmental emergency procedures for fire, disaster and other emergency situations.
• Reports and removes unsafe equipment/furniture.
• Asks for assistance when needed to assure safety for all involved.
• Maintains a safe working environment and practices safe working habits.

Skills

• Medical office experience.
• Insurance billing experience.
• Knowledge of Brightree software.

Benefits

Competitive compensation with a full benefits package and opportunity for growth throughout the system!

Pay

Details TBD

Schedule

Mon-Fri 0730-1600