Account Representative II

Medicare billing or follow up experience preferred

EPIC experience preferred

Will work with government billers.

NORTHEAST OHIO INTEREST ONLY

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the country. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.

As an Account Representative II, you will perform a specific operational responsibility within a revenue cycle management functional unit including customer service, insurance billing and follow-up processes for commercial and government payers, insurance verification, cash application, credit balance resolution and/or account reconciliation.

The ideal future caregiver is someone who:

• Engages with their job responsibilities.

• Is a team player and effective communicator.

• Thrives working both independently and as part of a team.

• Can multitask while paying attention to details and staying organized.

By taking this opportunity, you will have the opportunity to learn and develop skills that will assist with your personal and professional development.

At Cleveland Clinic, we know what matters most. That's why we treat our caregivers as if they are our own family, and we are always creating ways to be there for you. Here, you'll find that we offer: resources to learn and grow, a fulfilling career for everyone, and comprehensive benefits that invest in your health, your physical and mental well-being and your future. When you join Cleveland Clinic, you'll be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare.

Responsibilities:

• Recommends and executes policies and procedures to the supervisor to ensure the timely resolution of patient service and third party reimbursement issues to foster an environment of total customer responsiveness.

• Performs customer service, insurance billing and follow-up processes for commercial and government payers, insurance verification, cash application, credit balance resolution and/or account reconciliation.

• Provides input to management obtained from various insurance companies, outside agencies and patients regarding reimbursement and customer service related issues.

• Recommends and executes changes to customer service programs in accordance with changes in insurance regulations from data obtained from various groups.

• Provides feedback to supervisor to assist the department liaison with various departments and physicians in regards to various issues including diagnosis coding. Complies and assists with the implementation of management reporting systems to ensure accurate and timely reporting of department goals and results.

• Assists with the development, implementation and execution of a quality control program for the timely and accurate resolution of patient and insurance inquiries.

• Other duties as assigned.

Education:

• 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.

Certifications:

• None required.

Complexity of Work:

• 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.

Work Experience:

• Minimum two years of experience in a patient account or financial environment.

• An Associate's degree may offset one year of the experience requirement.

• A Bachelor's degree may offset the two year experience requirement.

• Knowledge of patient accounts which includes customer service, insurance processing, insurance verification and cash application.

• Knowledge of additional specialized function may be required such as third party payors, Medicare processing, hospital and physician billing and pricing, CPT4/ICD code application.

• Must have excellent verbal and communication skills.

Physical Requirements:

• Manual dexterity to operate office equipment.

• May require periods of sitting, standing and the ability to walk to various locations throughout the Foundation to attend meetings; must have normal or correction vision to clearly communicate verbally by phone or in person.

Personal Protective Equipment:

• Follows standard precautions using personal protective equipment as required.

Pay Range

Minimum hourly: $15.75

Maximum hourly: $21.65

The pay range displayed on this job posting reflects the anticipated range for new hires. While the pay range is displayed as an hourly rate, Cleveland Clinic recruiters will clarify whether the compensation is hourly or salary. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cleveland Clinic's benefits package, which includes among other benefits, healthcare/dental/vision and retirement.