What are the responsibilities and job description for the Account Representative II position at Cleveland Clinic?
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Account Representative II
Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. You will work alongside dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.
Our team handles the billing and payment of high-end specialty services to which some of the sickest patients in the world travel to Cleveland Clinic to receive care. These are high dollar and high visibility cases with many intricacies. This team understands the complexities of these cases and goes beyond ensuring that the care provided by the medical teams is reimbursed as intended – for both the organization and the patient.
A caregiver in this position works 8:00am—4:30pm.
A caregiver who excels in this role will:
Recommend and provide input to execute customer service programs in accordance with changes in insurance reimbursement regulations and data obtained from various groups.
Provide supervisor/manager with information to assist department liaison with various departments regarding various issues including contract and reimbursement rules.
Comply, recommend, and assist with the implementation of various management reporting systems to insure accurate and timely reporting of department goals and results.
Assist with department audits as required. Participates in meetings with various payors, internal billing groups and other Cleveland Clinic departments to address discrepancies in payment and provides summary data and trend analysis to Managed Care Business Development for use in contract negotiations.
In conjunction with supervisor, recommend changes in billing practices intended to reduce payor mis-adjudication of claims and identifies contract language or specific payment methodology contributing to errors in payment.
Maintain data and develop enhancements to database and other various management reporting systems to ensure accurate presentation of trends in payor reimbursement, error rates, and maximize recovery of underpayments.
Validate new and existing contracts and reimbursement rules/logic.
Minimum qualifications for the ideal future caregiver include:
High School Diploma or GED.
Two years patient accounting experience.
OR Associate's degree can substitute one year of required experience.
OR Bachelor's degree can substitute two years of the required experience.
Knowledge of patient accounts which includes 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.
CPT4/ICD code application.
Must have excellent verbal and written skills.
Knowledge of EPIC and billing revenue resolution.
Preferred qualifications for the ideal future caregiver include:
NE Ohio or Florida Residents.
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/
Personal Protective Equipment:
- Follows standard precautions using personal protective equipment as required.
Pay Range
Minimum hourly: $15.75
Maximum hourly: $21.65
The pay range displayed on this job posting reflects the anticipated range for new hires. While the pay range is displayed as an hourly rate, Cleveland Clinic recruiters will clarify whether the compensation is hourly or salary. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cleveland Clinic's benefits package, which includes among other benefits, healthcare/dental/vision and retirement.
Salary : $1,000 - $1,000,000
