Patient Account Representative-- Waterloo-on site

Employment Type: Full time Shift: Day Shift Description: Join the Mercy One Family! We are looking to hire a Patient Account Representative!

You will Assists be r esponsible for registration and billing to third party payers for Wheaton Franciscan Healthcare-IA. Adheres to Wheaton Franciscan Healthcare’s performance expectations and performs all defined services and other related duties in accordance with the mission of Wheaton Franciscan Healthcare.

• Mon-Fri

1. Receives claims and ensures clean copy is sent to insurance company.

• Reviews paper claim and fills in locators for insurance company and updates series when needed.
• Transfers corrections onto computer system.
• Sends claim to insurance company (electronically or via mail).
• Maintains knowledge of current standards with insurance company and assure compliance.

2. Follows up on claims on first-time billings and takes action as appropriate.

• Resolves discrepancies in bill payment by following up with insurance company.
• Initiates correspondence between insurance company and patient.
• Determines appropriate action to take (i.e., resubmitting claim, billing patient, billing secondary insurance).

3. Resolves billing issues with insurance companies, patients and physicians’ offices.

• Follows up on correspondence with customers.
• Initiates communication with other health system departments for clarification.
• Responds to customer inquiries via phone and takes appropriate action.
• Communicates results of investigations to customers.
• Documents all communications and actions in series system completely.

4. Registration functions.

• Creates an account from clinic encounters
• Enters charges into computer system.

5. Adheres to all safety, infection control and employee health policies and procedures.

• Attends required safety programs.
• Appropriately and consistently uses the personal protective equipment required of the job.
• Knows and can demonstrate departmental emergency procedures for fire, disaster and other emergency situations.
• Reports and removes unsafe equipment/furniture.
• Asks for assistance when needed to assure safety for all involved.
• Maintains a safe working environment and practices safe working habits.

• Basic Skill Set
• 0-2 Years-Minimum of 6 months medical office or insurancce experience
• High school or Equivalen (GED)
• Associates Degree: degree in accounting prferred
• Billing experience preferred
• Experience with Brightree a plus!

• Colleagues ofMercy One Health  System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system !

Visit Mercy One Careers to learn more about the benefits, culture, and career development opportunities available to you at Mercy One Health System circle of care.

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.