Remote Senior Medical Billing & Claims Specialist

Hbcu Connect, Llc; Seattle (WA); A distancia; USD 60.000 - 80.000; Jornada completa

Descripción de la vacante

Providence Swedish is seeking a remote insurance claims specialist responsible for preparation, editing and submission of accurate claims to Medicare, Medicaid, L&I and other regulators. The role uses EPIC and claims scrubber tools to resolve edits and ensure claim accuracy.

The position requires medical terminology and coding training and at least 1 year of hospital regulatory billing experience; a Bachelor's in healthcare administration is preferred.

Formación

• 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).

Responsabilidades

• Prepare, edit and submit accurate insurance claims (electronic and manual) to regulatory payers.
• 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.
• Identify recurring billing errors and report trends to supervisor.
• Research and analyze coding errors to support problem solving.

Conocimientos

Medical terminology

Medical coding

Regulatory billing

Hospital billing experience

Payer system experience

Educación

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

Herramientas

Provider One

MECA

FSS0

CWF

Descripción del empleo

Providence Swedish is seeking a remote insurance claims specialist responsible for preparation, editing and submission of accurate claims to Medicare, Medicaid, L&I and other regulators. The role uses EPIC and claims scrubber tools to resolve edits and ensure claim accuracy.

The position requires medical terminology and coding training and at least 1 year of hospital regulatory billing experience; a Bachelor's in healthcare administration is preferred.