Olmsted Medical Center

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