Account Representative II

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 RCM Revenue Integrity and EHR-Finance Job Code B15021 Shift Days Schedule 8:00am-4:30pm Job Summary Job Details 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. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As an Account Representative II, 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 and account reconciliation. This role is integral to ensure timely payments by assisting payers and resolving any rejections or denials received. It offers an opportunity to strengthen customer service skills, expand account management expertise and contribute to an innovative healthcare environment. A caregiver in this role works remotely from 8:00 a.m. – 4:00 p.m. with a flexible with flexible start times available as early as 7:00 a.m. or as late as 9:00 a.m. To be considered for this position, candidates must reside in Ohio or Florida. A caregiver who excels in this role will: • Recommend and execute 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. • Provide input to management obtained from various insurance companies, outside agencies and patients regarding reimbursement and customer service-related issues. • Recommend and execute changes to customer service programs in accordance with changes in insurance regulations from data obtained from various groups. • Provide feedback to supervisor to assist the department liaison with various departments and physicians regarding various issues, including diagnosis coding. • Comply and assist with the implementation of management reporting systems to ensure accurate and timely reporting of department goals and results. • Assist with the development, implementation and execution of a quality control program for the timely and accurate resolution of patient and insurance inquiries. Minimum qualifications for the ideal future caregiver include: • 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 • Excel knowledge (spreadsheets) Preferred qualifications for the ideal future caregiver include: • Ability to correspond with payers and utilize electronic portals with ease Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/ 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 Apply tot his job Apply To this Job