Account Specialist

Park Nicollet is looking to hire an Account Specialist to join our team!  Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day. 

Position Summary:

This position helps patients understand  insurance benefits, referral requirements and network status. Uses effective interpersonal skills to gather necessary patient insurance and demographic information.  Uses expertise in insurance selection to translate the information provided by the patient/guarantor into the computer system to result in prior authorization, notification and accurate claim submission. Utilizes payer eligibility and notification resources to verify patient insurance information and provide notification to payers of inpatient or Emergency Department (ED) admission.   Works closely with PNHS staff and assists with all aspects of the registration process as appropriate.

The Account Specialist may contact insurance payers to provide inpatient notification and obtain patient network information.  The position thoroughly researches and resolves concerns related to billing, insurance or the patient’s ability to pay. The Account Specialist must ensure the patient concerns and issues are resolved in a timely and accurate manner in accordance with organizational policies and procedures.  The Account Specialist will perform tasks related to: obtaining payment over the telephone from patient/guarantor, resolving patient’s balances by offering and accepting all appropriate payment arrangements, updating incomplete or missing information on accounts to ensure that billing is correct, provide accurate information and facilitate resolution to patients and third party inquiries, offering Financial Assistance and/or directing patients to the appropriate Government Assistance Programs, providing network and benefit information to patients and working with insurance payers. Always representing the company in a professional and positive manner and following the Attorney General Agreement and Federal regulations.  Effective performance of these functions helps the organization achieve strong cash flow and maximize patient’s satisfaction

Required Qualifications:

Education, Experience or Equivalent Combination:

• At least one year of customer service experience

Knowledge, Skills, and Abilities:

• 1-year Customer Service Experience
• Ability to communicate effectively and professionally with patients and families with a variety of developmental and sociocultural backgrounds. 
• Strong communication and interpersonal skills, including the ability to professionally respond in situations involving conflict and emotion. 
• Demonstrated written/verbal communication skills
• Proficiency in Electronic Medical Record (Epic Cadence/ADT, Prelude and Resolute preferred)
• Basic knowledge of accounts receivable systems is also helpful.  Knowledge of medical and insurance industry terminology
• Moderate proficiency with word processing spreadsheets and email is required. 
• Preference for experience with the Microsoft Suite (e.g. Word, Excel, Outlook). 
• Working knowledge of typical office equipment is expected.
• Ability to work independently.

Preferred Qualifications:

Education, Experience or Equivalent Combination:

• Previous experience in related role

• High school diploma

Knowledge, Skills, and Abilities:

• Currently not in a performance development program

• Proficiency in processing accounts using HealthPartners guidelines 

• Strong attention to detail and the desire to continue to learn is necessary for on-going accuracy. 

• Consistent accuracy in registration

Benefits:

Park Nicollet offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, onsite clinic and much more! 

At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.

We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.

At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.

Benefits Designed to Support Your Total Health
As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.

Join us in our mission to improve the health and well-being of our patients, members, and communities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.