Full employer posting
HYBRID: This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs. 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. Qualifications 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.
Ideal candidate will have pharmacy experience and submitting prior authorizations. CPHT, MAA, or LPN preferred. 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 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.
- Full time Benefits
- Medical: Multiple plan options
- Dental: Delta Dental or reimbursement account for flexible coverage
- Vision: Affordable plan with national network
- Pre-Tax Savings: HSA and FSAs for eligible expenses
- Retirement: Competitive retirement package to secure your future
About the role
HYBRID: This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs.