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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.

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.

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities