Senior Patient Accounts Representative

Agence PROvidence; Seattle (WA); Remote; USD 48,000 - 64,000; Full time

Job summary

Providence Swedish is seeking a remote Insurance Claims Billing Specialist to prepare, edit and submit accurate claims to Medicare, Medicaid and related payers. The role supports primary and secondary claims, reviews edits in EPIC and a claims scrubber, and ensures timely filing.

You will reconcile claim runs, generate electronic files, resolve errors with the clearinghouse or vendor, and identify recurring billing issues for improvement.

Qualifications

• Medical terminology and medical coding training or equivalent on-the-job training.
• Minimum 1 year of hospital insurance regulatory billing experience including Medicare, Medicaid and/or L&I.

Responsibilities

• Prepare, edit and submit accurate claims to regulatory payers (Medicare, Medicaid, L&I, VA, etc.).
• Review and resolve billing edits in EPIC and in claims scrubber system; verify accuracy of claims submitted to payers.
• Reconcile claim runs, create electronic claim files and resolve errors with clearinghouse or scrubber vendor.
• Identify recurring billing errors and trends; report to supervisor.
• Research coding errors, document billing issues, and assist with problem solving and solutions.
• Process credit balances due to regulatory payers.

Skills

Medical terminology

Medical coding

EPIC experience

Regulatory billing

L&I experience

Education

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

Tools

Provider One

MECA

FSS0

CWF

Job description

This is a remote role.

Responsible for preparation, editing and submission of accurate and timely insurance claims (electronic and manual) to regulatory payers (including Medicare, Medicaid, L&I, VA, Crime Victims & Healthy Options), for primary, secondary, late charge and corrected claims. Reviews and resolves billing edits in EPIC and in claims scrubber system. Verifies accuracy of claims submitted to payers. Claims process includes reconciling claim runs, creating electronic claim files, and resolving errors. Resolve claims editing issues and interact with third party clearinghouse or the claims scrubber vendor to produce clean claims. Identifies recurring billing errors and trends and reports them to supervisor when necessary. Conduct research / analyze coding errors, document billing issues / trends, and assist with problem solving and solutions. Process credit balances due to regulatory payers

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:

• 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).

Preferred qualifications:

• Bachelor's Degree in Finance, Business Management or health care administration.
• A strong technical background including experience with automated systems.
• Experience working with Provider One, MECA, FSS0 and/or CWF

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.