Patient Account Rep-Supplemental/PRN-Hybrid

Mayo Clinic Institutional Insurance and Reimbursement Expert

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.

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.

Responsibilities

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. These processes include service pre-certification, insurance coverage review and personal responsibility determination, communications with patients, claim submissions, denial review, rebilling, appeals, and accounts receivable management. Utilizes skills in problem solving, customer service, and communications (verbal and written) in interactions with patients and internal customers to resolve a variety of account, billing and payment issues for patients, physicians, nurses, pharmacists, technicians and social workers. Interprets, applies and communicates Mayo Clinic policies regarding financial aspects of patient care to assure optimal reimbursement for both the patient and Mayo Clinic.

Qualifications

Associate Degree in finance, business or healthcare related majors and 1 year 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 tech 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. Qualified candidate must possess strong human relations, communication, problem solving, and organizational skills to interact with a variety of customers and personnel, both within and outside the institution. Must be able to work independently and in a team environment. Candidate should have experience working 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.

During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.

Exemption Status: Nonexempt Compensation Detail: $20.31 -$31.06/ hour Benefits Eligible: No Schedule: Part Time Hours/Pay Period: Supplemental/PRN Schedule Details: As needed based on work needs. 25 hours per week availability between 8-5 required for first 3 months of training. 100 hours per quarter between 8-5 required thereafter. Potential for 40 hours per week between December and May. Weekend Schedule: As needed based on work needs. International Assignment: No

Equal Opportunity: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law". Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.