Account Representative II (Remote Jobs Hiring/Entry Level Work from Home Jobs)

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

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Department
RCM Billing Operations Billing/No response-Finance

Job Code
B15021

Shift
Days

Schedule
8:00am-4:30pm

Job Summary
Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as the No. 4 hospital in the nation, according to the U.S. and World News Report. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, 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, you will perform a specific operational responsibility within a functional unit within revenue cycle management including customer service, insurance billing and follow-up processes for commercial and government payers, insurance verification, cash application, credit balance resolution and/or account reconciliation.

Cleveland Clinic provides what matters most: career growth, delivering world-class care to our patients, continuous learning, exceptional benefits and working for an organization that offers many long-term career paths. Join us and experience a culture where opportunities to advance and the support to get there go hand-in-hand.

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Job Details
Responsibilities:

Recommends and executes 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.
Performs customer service, insurance billing and follow-up processes for commercial and government payers, insurance verification, cash application, credit balance resolution and/or account reconciliation.
Provides input to management obtained from various insurance companies, outside agencies and patients regarding reimbursement and customer service related issues.

Recommends and executes changes to customer service programs in accordance with changes in insurance regulations from data obtained from various groups.
Provides feedback to supervisor to assist the department liaison with various departments and physicians in regards to various issues including diagnosis coding. Complies and assists with the implementation of management reporting systems to ensure accurate and timely reporting of department goals and results.
Assists with the development, implementation and execution of a quality control program for the timely and accurate resolution of patient and insurance inquiries.
Other duties as assigned.

Education:

High School Diploma or GED required.
An Associate’s degree may offset one year of the experience requirement.
A Bachelor’s degree may offset the two year experience requirement.

Certifications:

None required.

Complexity of Work:

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
Must be able to work in a stressful environment and take appropriate action.

Work Experience:

Minimum two years of experience in a patient account or financial environment.
An Associate’s degree may offset one year of the experience requirement.
A Bachelor’s degree may offset the two year experience requirement.
Knowledge of patient accounts which includes customer service, insurance processing, insurance verification and cash application.

Knowledge of additional specialized function 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 communication skills.

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 employees 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. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic Health System’s Smoking Policy will be permitted to reapply for open positions after 90 days.

Cleveland Clinic Health System administers an influenza prevention program as well as a COVID-19 vaccine program. You will be required to comply with both programs, which will include obtaining an influenza vaccination on an annual basis, and being fully vaccinated against COVID-19, 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