[Hiring] Account Representative II @Cleveland Clinic
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Role Description
- 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. In this role, 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
- Account reconciliation
- In this role, you will work to ensure that patients’ claims are processed and paid accurately and efficiently. A caregiver who excels in this role will:
- Recommend and execute policies and procedures to ensure the timely resolution of patient service and third-party reimbursement issues
- Provide input to management regarding reimbursement and customer service-related issues
- Recommend and execute changes to customer service programs in accordance with changes in insurance regulations
- Provide feedback to supervisor to assist with various issues, including diagnosis coding
- Comply and assist with the implementation of management reporting systems
- Assist with the development, implementation, and execution of a quality control program
- Qualifications
- 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
- Requirements
- Excel skills (preferred)
- 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 corrected vision to clearly communicate verbally by phone or in person
- Personal Protective Equipment
- Follows standard precautions using personal protective equipment as required
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