Institutional Insurance and reimbursement expert for one or more of the following business lines: outpatient pharmacy durable medical equipment skilled nursing facility home health agency or continuing care retirement center. Performs all aspects of the billing and collection processes for the individual business lines across the enterprise. These processes include service pre-certification insurance coverage review and personal responsibility determination communications with patients claim submissions denial review rebilling appeals and accounts receivable management. Utilizes skills in problem solving customer service and communications (verbal and written) in interactions with patients and internal customers to resolve a variety of account billing and payment issues for patients physicians nurses pharmacists technicians and social workers. Interprets applies and communicates Mayo Clinic policies regarding financial aspects of patient care to assure optimal reimbursement for both the patient and Mayo Clinic.
The schedule will be:
- Available: 16 Hours week
- M-F between 7am-6pm
- Night and Weekend as needed
- Must be available to work after holiday if requested
- Peak season (Jan - Mar) requests may be up to 40 hours per week
- Available for Up to 25 hours for 6 weeks for training
Associate Degree in finance business or healthcare related majors and 1 year experience in medical pharmacy or durable medical equipment billing and collection activities
OR
High school diploma/GED with at least 3 years experience in medical pharmacy or durable medical equipment billing and collection activities
OR
Certified pharmacy tech with 2 years of experience.
Qualified candidate must possess strong human relations communication problem solving and organizational skills to interact with a variety of customers and personnel both within and outside the institution. Must be able to work independently and in a team environment. Candidate should have experience working with Windows based software Microsoft Word Excel and the Internet. Keyboarding experience required. Claims management software experience desired. Healthcare Financial Management Association (HFMA) Certification Preferred.
*This position is a 100% remote work. Individual may live anywhere in the US.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
During the selection process you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview a question will appear on your screen and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
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