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

CCHS RCM Admin-Finance

                      

Job Code

B15021

                     

Shift

Days

                       

Schedule

8:00am-4:30pm

                       

Job Summary

                         

Job Details

Responsibilities:

• Recommends and executes 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.
• Performs customer service, insurance billing and follow-up processes for commercial and government payers, insurance verification, cash application, credit balance resolution and/or account reconciliation.
• Provides input to management obtained from various insurance companies, outside agencies and patients regarding reimbursement and customer service related issues.
• Recommends and executes changes to customer service programs in accordance with changes in insurance regulations from data obtained from various groups.
• Provides feedback to supervisor to assist the department liaison with various departments and physicians in regards to various issues including diagnosis coding. Complies and assists with the implementation of management reporting systems to ensure accurate and timely reporting of department goals and results.
• Assists with the development, implementation and execution of a quality control program for the timely and accurate resolution of patient and insurance inquiries.
• Other duties as assigned.

Education:

• High School Diploma or GED required.
• An Associate's degree may offset one year of the experience requirement.
• A Bachelor's degree may offset the two year experience requirement.

Certifications:

• None required.

Complexity of Work:

• Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
• Must be able to work in a stressful environment and take appropriate action.

Work Experience:

• Minimum two years of experience in a patient account or financial environment.
• An Associate's degree may offset one year of the experience requirement.
• A Bachelor's degree may offset the two year experience requirement.
• Knowledge of patient accounts which includes customer service, insurance processing, insurance verification and cash application.
• Knowledge of additional specialized function may be required such as third party payors, Medicare processing, hospital and physician billing and pricing, CPT4/ICD code application.
• Must have excellent verbal and communication 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 all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

Please review the Equal Employment Opportunity poster. 

                  

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities