Swedish Medical Center Insurance Representative I - Central Business Services in Seattle, Washington
Swedish Medical Center is looking for an Insurance Representative I (1.0 FTE, Days) to work in Central Business Services at the Bank of America Building in Seattle, WA.
The Insurance Representative I is responsible for posting fee-for-service payments, following up on insurance denials, submitting claims to secondary insurers, and calculating the precise patient responsibility portion to be billed.
In this position you will:
Accurately and timely post private payments, insurance payments, disallows and/or denials to appropriate patient account, calculate patient responsibility, interpret explanation of benefit message codes; identify payment discrepancies by contacting insurance carrier; and determine if re-bill is necessary.
Re-submit claims to government agencies, medical service bureaus, and insurance companies ensuring that accounts are billed appropriately by auditing charges to ensure accurate procedure codes, billing data, and patient information submitted.
Trace errors, record adjustments to proper accounts, and determine the appropriate destination for unidentified funds.
Ensure accurate account information in all billing areas; obtain correct information and update system when billing information is incorrect or missing.
Initiate claims for billing to secondary insurance companies for coordination of benefits; resolve unidentifiable payments from agencies in an appropriate manner.
Ensure deposits balance to posting and resolve any discrepancies; effectively process third-party payer and patient overpayments.
Required qualifications for this position include:
High school diploma or GED equivalent.
General knowledge of bookkeeping, basic accounting, and familiarity with insurance industry practices.
General knowledge of CPT and ICD9 codes.
Analytical, interpersonal, and communication skills
One (1) plus year’s related work experience in a health care environment.
Ability to operate data entry equipment and related computer systems.
Typing skills of 40wpm.
About Swedish Medical Group:
Swedish Medical Group (SMG) is a successful, performance-driven division of Swedish Health Services, the largest non-profit health provider in the Greater Seattle area. The SMG network includes more than 900 providers across 108 primary care and specialty care clinics.
We offer a full comprehensive range of benefits — see our website for details
Our nonprofit Mission is to improve the health and wellbeing of each person we serve. Our Vision is to demonstrate the highest-quality, best-value healthcare to all 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 118 primary care and specialty locations throughout the Puget Sound. Swedish employs more than 13,300 employees and 3,100 physicians and allied health professionals. 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: Billing / Insurance
Work Locations: Bank Of America Bldg (WA239) 800 Fifth Ave Seattle, 98104
Req ID: 196755