Billing and Collections Representative

Providence Health Plan Group; Seattle, Northern (WA, KY); Hybrid; USD 41,000 - 56,000; Full time

Job summary

Providence Swedish is seeking an Accounts Receivable follow-up specialist to collect active A/R from commercial and government payers. You will contact payers by phone or online inquiries and review balances after payments to determine next actions.

Required qualifications include medical terminology and medical coding training and 2 years in insurance billing/follow-up or claims processing with customer service experience.

Qualifications

• Medical terminology and medical coding training in an accredited school or equivalent on-the-job training in a follow-up role required

Responsibilities

• Collect active A/R from payers including commercial and government plans; contact payers by phone or online inquiries.
• Review remaining balances after payments to determine next actions and coordinate with other departments as needed.
• Review denials and communicate follow-up needs to appropriate teams to resolve claims.

Skills

Medical terminology

Medical coding

Insurance billing

Customer service

Education

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

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.

Required Qualifications

• Medical terminology and medical coding training in an accredited school or 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.

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

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.

Job Schedule: Full time

Job Shift: Day

Career Track: Admin Support

Department: 3900 SS HEALTH PLAN SVCS

Address: WA Seattle 1730 Minor Ave

Work Location: Swedish Metropolitan Park East-Seattle

Workplace Type: On-site

Pay Range: $29.68 - $41.08