Account Representative II Cleveland Clinic 2,293 reviews - Cleveland, OH
Performs a specific operational responsibility within a functional unit
within revenue cycle management 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. 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. The policy of Cleveland
Clinic and its system hospitals (Cleveland Clinic) is to provide equal
opportunity to all of our employees and applicants for employment in our
tobacco free and drug free environment. All offers of employment are
followed by testing for controlled substance and nicotine. Job offers
will be rescinded for candidates for employment who test positive for
nicotine. Candidates for employment who are impacted by Cleveland
Clinics Smoking Policy will be permitted to reapply for open positions
after 90 days. Decisions concerning employment, transfers and promotions
are made upon the basis of the best qualified candidate without regard
to color, race, religion, national origin, age, sex, sexual orientation,
marital status, ancestry, status as a disabled or Vietnam era veteran or
any other characteristic protected by law. Information provided on this
application may be shared with any Cleveland Clinic facility. Cleveland
Clinic is pleased to be an equal employment employer:
Women/Minorities/Veterans/Individuals with Disabilities 10 hours ago -
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Cleveland Clinic Cleveland Clinic 2,293 reviews Cleveland Clinic,
located in Cleveland, Ohio, is a not-for-profit multispecialty academic
medical center that integrates clinical and... Let employers find you
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