Billing and Collections Representative

Providence Swedish; Seattle (WA); On-site; USD 60,000 - 85,000; Full time

Job summary

Providence Swedish is seeking a Revenue Cycle specialist to manage active A/R from insurance payers and follow up on unpaid hospital claims. You will contact payers by phone or online inquiry, review balances after payments, and coordinate with Care Coordination and Registration to resolve denials.

This fast-paced role requires accuracy, collaboration across departments, and a focus on timely cash collections.

Responsibilities

• Collect active accounts receivable from insurance payers, including commercial plans and government programs, and monitor aging to determine action.
• Review remaining balances after payments and follow up on unpaid hospital claims to resolve outstanding amounts.
• Review denials by payers for entire claims and line items, coordinating with Care Coordination, Revenue Coordination, Registration and others as needed.

Job description

Description

Responsible for collecting active A/R from insurance payers including but not limited to commercial, Blue Cross, Blue Shield, Aetna, Uniform Medical, United Healthcare, HMOs, PPOs, and other payers. Contact insurance payers by either phone or online inquiry regarding unpaid hospital claims. Review remaining balances on account after insurances have paid to determine appropriate next action. Review denials by insurances for entire claims and for line items to determine if additional follow up is needed or assistance from other departments and forwarded to them as needed, including Care Coordination, Revenue Coordination, Registration, etc.

Responsible for collecting active A/R from insurance payers including but not limited to commercial, Blue Cross, Blue Shield, Aetna, Uniform Medical, United Healthcare, HMOs, PPOs, and other payers. Contact insurance payers by either phone or online inquiry regarding unpaid hospital claims. Review remaining balances on account after insurances have paid to determine appropriate next action. Review denials by insurances for entire claims and for line items to determine if additional follow up is needed or assistance from other departments and forwarded to them as needed, including Care Coordination, Revenue Coordination, Registration, etc. Providence Swedish caregivers are not simply valued - they're invaluable. Join our team at Swedish Shared Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and