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Cleveland Clinic



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Health Care-Cleveland Clinic
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Job Title

Account Rep II - Independence, CCHS Employees Only Job


CCHS Employees Only
Reference Title
HR Use Only: Account Rep II - Independence
Hospital: Cleveland Clinic Main Campus & Family Health Centers
Job Code: B15021
Pay Grade: 08
Schedule: Full Time
Shift: Days
Hours: 8am to 5pm
Job Details: - High School Diploma or equivalent Required.
- 2 years experience required

Position location is Business Operations Center (Independence)

Summary: Under the direction of the supervisor, performs a specific operational responsibility within a functional unit within Revenue Cycle Management. These responsibilities include customer service, insurance billing and follow-up processes for commercial and government payers, insurance verification, cash application, credit balance resolution and/or account reconciliation.

Job Responsibilities: Recommends and executes policies and procedures in conjunction with the supervisor to insure the timely resolution of patient service and third party reimbursement issues to foster an environment of total customer responsiveness. Provides input to management obtained from various insurance companies, outside agencies and patients regarding reimbursement and customer service related issues. Recommends and provides input to execute changes to customer service programs in accordance with changes in insurance regulations from data obtained from various groups. Provides information to supervisor to assist the department liaison with various departments/physicians in regards to various issues including diagnosis coding. Complies and assists with the implementation of management reporting systems to insure 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.

Experience: Minimum two years experience in a patient account or financial environment or equivalent combination of related education and experience. 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.

Licensure/Certification/Registration: None

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.

Category: Finance/Information Systems

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