Swedish Health Services Financial and Billing Associate in Seattle, Washington
Swedish Medical Center is looking for a Financial and Billing Associate (1.0 FTE, Day Shift) to work in Kidney Acquisitions at Swedish First Hill in Issaquah, WA.
Responsible for reviewing, processing, and preparing all claims for manager or director approval for submittal to Swedish Accounts Payable (A/P) consistent with Swedish A/P policies for all potential pre-transplant donor and recipient services provided. Serves as the point person for all billing questions with patients, services providers and insurers. Resolves patient billing complaints. Reviews itemized bills to verify accuracy and completeness of charges. Researches denied or incomplete bills. Code and/or verifies the latest ICD-CPT and HCPCS codes. Instructs and supports billing staff in the application of billing policies and procedures.
In this position you will: .
Receive and sort claims submitted of transplant Program including but not limited to Health Insurance Claim form (HCFA) 1500 and UV-04 forms to review and processing.
Review submitted claims for services rendered to potential transplant patients including potential recipients and donors for accuracy, and determine if claims represent appropriate pre-transplant charges.
Process charges for pre-transplant laboratory, hospital, medical practice and other services for potential transplant recipients and donors for signature by department's manager or director, submittal to A/P and approval.
Make inquiries telephonically or in writing to services providers as needed for additional detail.
Prepare correspondence to send to service providers for inappropriately and/or inaccurately submitted claims for Transplant Administrator and/or department manager/director for review and signature.
Required qualifications for this position include:
2 years transplant clinic setting with managed care, Medicare, Medicaid and private payer insurance reimbursement
Windows applications and Microsoft Office
At least one or more of the following certifications is required: Coding Specialist-Physician (CCS-P), Certified Medical Coder (CMC), or Certified Professional Coder (CPC).
If not certified at time of employment, must obtain one certification within six months of starting in position
Preferred qualification for this position include:
- Bachelor's Degree
About the First Hill Campus.
The 697-bed tertiary-care center on the Swedish/First Hill campus is the flagship of the Swedish health-care system. Swedish/First Hill has one of the most active and advanced birthing programs in Washington state and houses a Level III neonatal intensive-care unit. More surgeries are performed each year at Swedish/First Hill than at any other facility in the region; volumes include more total joint replacements than any other medical center in the state.
We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit
Our Mission is to improve the health and well-being of each person we serve.
Our Vision is Health for a Better World.
Swedish is the largest not-for-profit health care system in the greater Seattle area. It is comprised of five hospital campuses (First Hill, Cherry Hill, Ballard, Edmonds and Issaquah); emergency rooms and specialty center in Redmond (East King County) and the Mill Creek area in Everett; and Swedish Medical Group, a network of more than 128 primary care and specialty care locations throughout the greater Puget Sound area. Swedish employs nearly 13,000 caregivers (all employees), including nearly 1,400 providers. Whether through physician clinics, education, research and innovation or other 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: Coding
Work Locations: First Hill Madison Bldg (WA177) 1101 Madison Seattle, 98104
Req ID: 301337