Billing and Collections Representative

Providence Swedish Medical Center; Seattle (WA); On-site; USD 41,000 - 57,000; Full time

Job summary

Providence Swedish Medical Center is seeking a Billing/Collections professional to collect active accounts receivable from a broad range of payers, and to follow up on unpaid hospital claims. You will contact payers by phone or online, review balances after insurance payments, and determine next steps, including collaboration with Care Coordination and Revenue Cycle teams.

Ideal candidates have medical terminology and coding training and at least 2 years in insurance billing/follow-up or claims

Qualifications

• Medical terminology and medical coding training or equivalent education/experience.
• 2 years of experience in insurance billing/follow-up or insurance claims processing and/or customer service, including private insurance.
• Equivalent on-the-job training in a follow-up role.

Responsibilities

• Collect active A/R from insurance payers (commercial, Blue Cross/Blue Shield, Aetna, United Healthcare, HMOs, PPOs, etc.).
• Contact payers by phone or online inquiry regarding unpaid hospital claims.
• Review remaining balances after insurance payments to determine next action and coordinate with other departments.

Skills

Medical terminology

Medical coding training

Insurance follow-up

Customer service

Education

Bachelor's Degree in Finance, Business Management or health care administration

Tools

Automated systems

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.

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 mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

• Medical terminology and medical coding training in an accredited school --or-- equivalent education/experience
• Equivalent on-the-job training in a follow-up role required
• 2 years of experience in insurance billing/insurance follow-up or insurance claims processing and/or customer service, including private insurance

Preferred Qualifications:

• Bachelor's Degree in Finance, Business Management or health care administration
• A strong technical background including experience with automated systems

Why Join Providence Swedish?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our mission of improving the health and wellbeing of each patient we serve.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence Swedish is the largest not-for-profit health care system in the greater Puget Sound area. It is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. Whether through physician clinics, education, research and innovation or other outreach, we’re dedicated to improving the wellbeing of rural and urban communities by expanding access to quality health care for all.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here where you can access an email link to submit your concern.

Requsition ID: 453571
Company: Swedish Jobs
Job Category: Billing/Collections
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Admin Support
Department: 3900 SS HEALTH PLAN SVCS
Address: WA Seattle 747 Broadway
Work Location: Swedish First Hill 747 Broadway-Seattle
Workplace Type: On-site
Pay Range: $29.68 - $41.08
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.