Business Office Insurance Follow:up Representative : Billing Office - Swedish Health Services
Posted: Sunday, November 5, 2017 2:52 AM
Swedish Medical Center is looking for a Business Office Insurance Follow:up Representative (1.0 FTE, Day shift) in the Billing Office at Swedish Shared Services located in Seattle, WA Responsible for collecting active A/R from insurance payers including by not limited to commercial, Blue Cross, Blue Shield, Aetna, Uniform Medical, United Healthcare, HMOs, PPOs and other payers. In this position you will: Contact insurance payers regarding unpaid hospital claims Review remaining balances on accounts after insurances have paid to determine appropriate next action Review denials by insurances for entire claims and for line items to determine of additional follow up is needed Write and submit appeals Answer phone inquiries from patients and insurance regarding bills, charges, and account status Resolve issues holding up timely claim payment, including requests for medical records, coordination with Customer Service and other related departmentsRequired qualifications for this position include: Medical terminology and medical coding training Experience in hospital insurance billing Knowledge and understanding of coding classification systems Knowledge of state and federal regulations as they pertain to billing processes and procedures Preferred qualifications for this position include: Bachelor degree in Finance, Business Management or health care administration Experience with Automated Systems; Epic 2+yrs prior experience with Insurance Follow: up. Experience and knowledge of government and commercial Insurances About Swedish Shared Services. Swedish is the largest, most comprehensive, nonprofit health provider in the Greater Seattle area. Our expanding network of facilities currently includes three hospital locations in Seattle, a hospital in Edmonds and the new Swedish Issaquah campus. It also consists of Swedish Medical GroupA?s network of primary care clinics, and affiliations with suburban hospitals and specialty clinics throughout Greater Seattle. Each campus has a local operations leadership team, supported by centrally located and led corporate services, such as Human Resources, Financial and Information Services.
• Location: Seattle
• Post ID: 57848567 seattle