Job Description

1.0 FTE (40 hrs/wk); Monday - Friday, 8:00am to 4:30pm. This position will require initial on-site training at the River Park Plaza location in St. Paul, and then will transition to a remote working role. Under the general direction of the Charge Integrity Supervisor and Manager, the Patient Account Representative is responsible for timely and accurate processing of patient accounts to both third party payers and patients/guarantors. Additional responsibilities are defined as those specific duties relating to the various revenue cycle functions as assigned by the Charge Integrity Manager, team goals, and hospital job performance standards. The hourly wage for this opportunity is $19.21/hour to $28.81/hour, with a median wage of $24.01/hour. Pay is dependent on several factors including relevant work experience, education, certification & licensure, and internal equity. Hourly pay is just one part of the compensation package for employees. Gillette supports career progression and offers a competitive benefits package that includes a retirement savings match, tuition and certification reimbursement, paid time off, and health and wellness benefits. Major Challenges:

• Responsible for general claim submission as well as follow-up on specific accounts and specific payers.
• Taking calls from patients and families regarding billing questions or concerns.
• Working collaboratively with other departments within the Revenue Cycle to resolve claim submission issues, claim denial issues and instigate the claim appeal process with the appropriate areas.
• Critical thinking and ability to manage shifting priorities in a dynamic environment to ensure timely and effective response to organization needs.

Required Qualifications:

• Excellent customer service skills.
• Proven problem-solving skills, conflict resolution skills in addition to excellent time management skills.
• Demonstrated ability to work and problem solve in a collaborative manner with other members of the department and staff from other departments.
• Willingness and adaptability to learn and implement new and/or different processes and procedures.
• Ability to independently initiate, research, analyze, and offer suggestions and support to department.

Preferred:

• Two years of medical billing or coding experience that includes exposure to payer requirements, claims systems, and revenue cycle management.
• Bachelor\xe2\x80\x99s Degree or Medical Billing/Coding Certificate
• DME Billing Experience

Gillette requires all staff to be fully vaccinated for COVID-19 unless there is a Gillette-approved medical or religious exemption. New hires will be required to have at least one dose of the COVID-19 vaccine prior to starting employment and submit proof of 1st dose of COVID-19 vaccine prior to 1st day. Gillette also requires all employees to receive the influenza vaccine or wear an approved face mask during influenza season. The flu vaccine can be done at the time of the health clearance appointment. Gillette Children\xe2\x80\x99s Specialty Healthcare is committed to recruiting and retaining a diverse team, as we know that the diverse experiences of our employees make Gillette a stronger and better organization. We are committed to creating an equitable and inclusive environment where all patients, families and staff are welcomed and valued. We believe diverse perspectives and identities foster excellence, improve patient care and are essential for Gillette to fulfill its mission. Our team members collaborate to help patients of all backgrounds and abilities reach their full potential. Gillette Children\'s Specialty Healthcare is an equal opportunity employer and will not discriminate against any employee or applicant for employment because of an individual\'s race, color, creed, sex, religion, national origin, age, disability, marital status, familial status, genetic information, status with regard to public assistance, sexual orientation or gender identity, military status or any other class protected by federal, state or local laws. We partner with individuals and families to provide specialized, coordinated care for individuals who have complex, rare or traumatic conditions starting in childhood. To learn more about working at Gillette Children\'s Specialty Healthcare, please visit https://www.gillettechildrens.org/careers. Gillette Children\'s Specialty Healthcare participates in the U.S. Department of Homeland Security (DHS) E-Verify program which is an internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. If E-Verify cannot confirm that you are authorized to work, Gillette will give you written instructions and an opportunity to contact DHS or the Social Security Administration (SSA) to resolve the issue before Gillette takes any further action. Please visit https://www.e-verify.gov/ for further details regarding e-verify.