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<p><strong>1.0 FTE - Day Shift **REMOTE position, Work MUST be performed from within the State of Minnesota. **</strong></p>
<p><strong>Starting Pay - $23.18 to $28.97 (based on experience)</strong></p>
<p><em>Offers for external candidates are generally made between the minimum and midpoint of the range, based on experience.</em></p>
<p><strong>At Olmsted Medical Center, we value our employees and are committed to providing a comprehensive and competitive benefits package. To keep up with the evolving trends, Olmsted Medical Center offers the following for employees who are employed at a 0.5 FTE or higher.</strong></p>
<ul>
<li>Medical Insurance</li>
<li>Dental Insurance </li>
<li>Vision Insurance</li>
<li>Basic Life Insurance</li>
<li>Tuition Reimbursement</li>
<li>Employer Paid Short-Term Disability and Long-Term Disability</li>
<li>Adoption Assistance Plan</li>
</ul>
<p><strong>Qualifications:</strong></p>
<ul>
<li>College Certificate, Associate’s Degree, or equivalent related experience required</li>
<li>Experience in medical billing, patient accounts, or healthcare revenue cycle operations preferred</li>
<li>Knowledge of insurance payers, billing processes, claim submission, and reimbursement workflows</li>
<li>Experience with claim follow-up, denial management, and appeals preferred</li>
<li>Strong attention to detail and effective problem-solving skills</li>
<li>Proficiency with computers with the ability to learn billing systems, software, and navigate payer websites and portals</li>
<li>Effective communication to interact with insurance companies, internal departments, team members and patients</li>
<li>Strong math skills with a basic understanding of the revenue cycle</li>
<li>Understanding of Provider Based Billing (PBB) preferred</li>
<li>Ability to manage multiple tasks independently and as part of a team in a fast-paced environment</li>
</ul>
<p><strong>Job Responsibilities:</strong></p>
<ul>
<li>Reviews insurance claims prior to submission to identify and resolve errors, ensuring accurate and timely billing in accordance with payer guidelines.</li>
<li>Monitors claim status and follows up with insurance carriers on delayed or unpaid claims.</li>
<li>Reviews and resolves denied claims in collaboration with payers and patients.</li>
<li>Posts insurance payments, adjustments, and remittance activity accurately to patient accounts.</li>
<li>Investigates and resolves credit balances and billing discrepancies.</li>
<li>Responds to internal and external inquiries related to billing and insurance.</li>
<li>Documents all actions and follow-up activities within the billing system.</li>
<li>Maintains current knowledge of payer guidelines, updates, payer websites and payer portals.</li>
<li>Supports development and implementation of department procedures and workflows.</li>
<li>Participates actively in department meetings, focus groups, training opportunities, and process improvement initiatives.</li>
<li>Maintains data integrity within billing systems by following established workflows and standards.</li>
<li>Reviews reports and work queues to support A/R goals.</li>
<li>Performs other duties as assigned.</li>
</ul>
