Patient Account Representative-Insurance

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<p><strong>1.0 FTE - Day Shift **REMOTE position, Work MUST be performed from within the State of Minnesota. **</strong></p> <p><strong>Starting Pay - $23.18 to $28.97 (based on experience)</strong></p> <p><em>Offers for external candidates are generally made between the minimum and midpoint of the range, based on experience.</em></p> <p><strong>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.</strong></p> <ul> <li>Medical Insurance</li> <li>Dental Insurance  </li> <li>Vision Insurance</li> <li>Basic Life Insurance</li> <li>Tuition Reimbursement</li> <li>Employer Paid Short-Term Disability and Long-Term Disability</li> <li>Adoption Assistance Plan</li> </ul> <p><strong>Qualifications:</strong></p> <ul> <li>College Certificate, Associate’s Degree, or equivalent related experience required</li> <li>Experience in medical billing, patient accounts, or healthcare revenue cycle operations preferred</li> <li>Knowledge of insurance payers, billing processes, claim submission, and reimbursement workflows</li> <li>Experience with claim follow-up, denial management, and appeals preferred</li> <li>Strong attention to detail and effective problem-solving skills</li> <li>Proficiency with computers with the ability to learn billing systems, software, and navigate payer websites and portals</li> <li>Effective communication to interact with insurance companies, internal departments, team members and patients</li> <li>Strong math skills with a basic understanding of the revenue cycle</li> <li>Understanding of Provider Based Billing (PBB) preferred</li> <li>Ability to manage multiple tasks independently and as part of a team in a fast-paced environment</li> </ul> <p><strong>Job Responsibilities:</strong></p> <ul> <li>Reviews insurance claims prior to submission to identify and resolve errors, ensuring accurate and timely billing in accordance with payer guidelines.</li> <li>Monitors claim status and follows up with insurance carriers on delayed or unpaid claims.</li> <li>Reviews and resolves denied claims in collaboration with payers and patients.</li> <li>Posts insurance payments, adjustments, and remittance activity accurately to patient accounts.</li> <li>Investigates and resolves credit balances and billing discrepancies.</li> <li>Responds to internal and external inquiries related to billing and insurance.</li> <li>Documents all actions and follow-up activities within the billing system.</li> <li>Maintains current knowledge of payer guidelines, updates, payer websites and payer portals.</li> <li>Supports development and implementation of department procedures and workflows.</li> <li>Participates actively in department meetings, focus groups, training opportunities, and process improvement initiatives.</li> <li>Maintains data integrity within billing systems by following established workflows and standards.</li> <li>Reviews reports and work queues to support A/R goals.</li> <li>Performs other duties as assigned.</li> </ul>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...