[Hiring] Account Representative II @Cleveland Clinic

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