Swedish Medical Center Business Office Insurance Follow-up Representative in Seattle, Washington
Where you work matters! Swedish Medical Center is looking for a Business Office Insurance Follow-up Representative at Swedish Shared Services in Seattle Wa.
Responsible for collecting active A/R from insurance payers including by not limited to commercial, Blue Cross, Blue Shield, Aetna, Uniform Medical, United Healthcare, HMO's, PPO's and other payers.
In this position you will:
Contact insurance payers regarding unpaid hospital claims
Review remaining balances on accounts after insurances have paid to determine appropriate next action
Review denials by insurances for entire claims and for line items to determine of additional follow up is needed
Write and submit appeals
Answer phone inquiries from patients and insurance regarding bills, charges, and account status
Resolve issues holding up timely claim payment, including requests for medical records, coordination with Customer Service and other related departments
Required qualifications for this position include:
Medical terminology and medical coding training
Experience in hospital insurance billing
Knowledge and understanding of coding classification systems
Knowledge of state and federal regulations as they pertain to billing processes and procedures
Preferred qualifications for this position include:
Bachelor degree in Finance, Business Management or health care administration
Experience with Automated Systems; Epic
About Swedish Shared Services.
Swedish is the largest, most comprehensive, nonprofit health provider in the Greater Seattle area. Our expanding network of facilities currently includes three hospital locations in Seattle, a hospital in Edmonds and the new Swedish Issaquah campus. It also consists of Swedish Medical Group’s network of primary care clinics, and affiliations with suburban hospitals and specialty clinics throughout Greater Seattle.
Each campus has a local operations leadership team, supported by centrally located and led corporate services, such as Human Resources, Financial and Information Services.
We offer a full comprehensive range of benefits — see our website for details
Our Non-Profit Mission: Improve the health and well-being of each person we serve.
Swedish is the largest nonprofit health care provider in the Greater Seattle Area. It is comprised of five hospital campuses (First Hill, Cherry Hill, Ballard, Edmonds and Issaquah); ambulatory care centers in Redmond and Mill Creek; and Swedish Medical Group a network of more than 183 primary care and specialty locations throughout the Great Puget Sound area. Swedish employs more than 13,000 employees and 4,200 physicians. Whether through physician clinics, health education, research and innovation or other means of outreach, we’re committed to caring for the people in our region and beyond. Swedish is proud to be an Equal Opportunity Employer. Swedish does not discriminate on the basis of race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Billing / Insurance
Work Locations: Metropolitan Park East (WA152) 1730 Minor Avenue Metropolitan East Tower Seattle, 98101
Req ID: 186016