Patient Account Representative-Full time

About the Role

Join the MercyOne Family! We are looking to hire a Patient Account Representative. You will be responsible for registration and billing to third party payers for Wheaton Franciscan Healthcare-IA. Adheres to Wheaton Franciscan Healthcare’s performance expectations and performs all defined services and other related duties in accordance with the mission of Wheaton Franciscan Healthcare.

Shift: Day Shift

Schedule: Mon-Fri 0730-1600

Employment Type: Full time

Location: Waterloo - on site

Key Responsibilities

• Receives claims and ensures clean copy is sent to the insurance company.
• Reviews paper claims and fills in locators for the insurance company, updating the series system when needed.
• Transfers corrections onto the computer system.
• Sends claims to the insurance company (electronically or via mail).
• Maintains knowledge of current standards with insurance companies and assures compliance.
• Follows up on claims on first-time billings and takes appropriate action.
• Resolves discrepancies in bill payment by following up with the insurance company.
• Initiates correspondence between the insurance company and the patient.
• Determines appropriate action (e.g., resubmitting claim, billing patient, billing secondary insurance).
• Resolves billing issues with insurance companies, patients, and physicians’ offices.
• Follows up on correspondence with customers.
• Initiates communication with other health system departments for clarification.
• Responds to customer inquiries via phone and takes appropriate action.
• Communicates results of investigations to customers.
• Documents all communications and actions in the series system completely.
• Performs registration functions.
• Creates an account from clinic encounters.
• Enters charges into the computer system.
• Adheres to all safety, infection control, and employee health policies and procedures.
• Attends required safety programs.
• Appropriately and consistently uses the personal protective equipment required for the job.
• Knows and can demonstrate departmental emergency procedures for fire, disaster, and other emergency situations.
• Reports and removes unsafe equipment/furniture.
• Asks for assistance when needed to assure safety for all involved.
• Maintains a safe working environment and practices safe working habits.

Requirements & Tech Stack

• Medical office or insurance experience
• High school or Equivalent (GED)
• Associates Degree (degree in accounting preferred)
• Billing experience preferred
• Experience with Brightree is a plus

Qualifications

• Minimum of 6 months medical office or insurance experience