Remote Patient Accounts Specialist - Insurance Claims

Providence Health & Services; Seattle (WA); Remote; USD 66,000 - 98,000; Full time

Job summary

Providence Swedish is seeking a remotely based claims billing professional responsible for preparation, editing and submission of accurate insurance claims (Medicare, Medicaid, L&I, VA, etc.) to payers, including reconciling claim runs and resolving errors.

The role requires medical terminology and coding training or on-the-job billing experience, 1 year in hospital regulatory billing, and familiarity with Provider One, MECA, FSS0 or CWF.

Qualifications

• Coursework/Training: Medical terminology and medical coding training in an accredited school. Or equivalent on-the-job training in a billing role.
• 1 year of experience in hospital insurance regulatory billing, including Medicare, Medicaid and / or Labor & Industries (L&I).

Responsibilities

• Prepare, edit and submit accurate and timely insurance claims to regulatory payers (including Medicare, Medicaid, L&I, VA, Crime Victims & Healthy Options) for primary, secondary, late charge and corrected claims.
• Review and resolve billing edits in EPIC and in claims scrubber system; verify accuracy of claims submitted to payers; reconcile claim runs and create electronic claim files.
• Resolve claims editing issues and interact with third party clearinghouse or the claims scrubber vendor to produce clean claims.
• Identify recurring billing errors and trends and report them to supervisor; conduct research / analyze coding errors, document billing issues / trends, and assist with problem solving and solutions.
• Process credit balances due to regulatory payers

Skills

Medical terminology

Medical coding

Regulatory billing

Hospital billing

Education

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

Tools

Provider One

MECA

FSS0

CWF

Job description

Providence Swedish is seeking a remotely based claims billing professional responsible for preparation, editing and submission of accurate insurance claims (Medicare, Medicaid, L&I, VA, etc.) to payers, including reconciling claim runs and resolving errors.

The role requires medical terminology and coding training or on-the-job billing experience, 1 year in hospital regulatory billing, and familiarity with Provider One, MECA, FSS0 or CWF.