Account Representative II

                    

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

                        

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

                                    

Job Title

Account Representative II

                        

Location

Cleveland

                    

Facility

Remote Location

                     

Department

RCM Billing and Follow Up PB-Finance

                      

Job Code

B15021

                     

Shift

Days

                       

Schedule

8:00am-4:30pm

                       

Job Summary

                         

Job Details

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 nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world.   

Cleveland Clinic is the first hospital in the nation to make great customer service a cornerstone of our mission. As an Account Representative II, you will perform specialized operational responsibilities within a functional unit of Revenue Cycle Management, including customer service, insurance billing and follow-up for commercial and government payers, insurance verification, cash application, credit balance resolution, and account reconciliation. In this role, you will work to ensure that patients’ claims are processed and paid accurately and efficiently.

The healthcare environment is constantly evolving, and this role provides an excellent opportunity for individuals to stay current with changes, contribute to process enhancements, and build a foundation for a career in healthcare billing and finance.

A caregiver in this role works remotely from 8:00 a.m. – 4:30 p.m.

A caregiver who excels in this role will:

• Recommend and execute 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. 

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

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

• Provide feedback to supervisor to assist the department liaison with various departments and physicians regarding various issues, including diagnosis coding.  

• Comply and assist with the implementation of management reporting systems to ensure accurate and timely reporting of department goals and results. 

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

Minimum qualifications for the ideal future caregiver include:  

• High School Diploma/GED and two years of experience in a patient account or financial environment

• OR Associate’s Degree and one year of experience

• OR Bachelor’s Degree 

• Knowledge of patient accounts, including customer service, insurance processing, insurance verification and cash application 

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

Preferred qualifications for the ideal future caregiver include: 

• Excel 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 Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to