[Hiring] Account Representative II @Cleveland Clinic

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. 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