Swedish Health Services Insurance Specialist - Central Business Services in Seattle, Washington
Swedish Medical Group is looking for an Insurance Specialist (1.0 FTE, DAY SHIFT) to work in Central Business Services at Swedish Medical Group in Seattle, WA.
Responsible for obtaining up to date insurance information and communicating accurate information, including agency requirements, to the appropriate individuals. Act as expert for internal customers in insurers doing business in our region, such as government plans (DSHS, Medicare, Tricare) and fully insured, self-insured, PPOs, etc
In this position you will:
Monitor changes in the health insurance industry that affect payment of claims; communicate changes to appropriate staff
Maintain and update list of insurance carriers and employers
Act as a resource for staff members, regarding health insurance claims policies and procedures for all types of insurance plans
Manage Epic Generic Work Queue to filter incoming registration information; make changes to insurance roster as necessary
Develop training program, to include information, format, and procedure design
Train and orient staff, including new employees, of insurance regulations, policies and procedures
Assist registering patients with the appropriate insurance per information on patient identification cards; travel to clinics as necessary
Notify database administrator of any insurance company changes, additions or deletions
Work closely with Manager to continually update and improve internal functions
Monitor insurance registration issues; assist with corrections to ensure timely filing
Demonstrate competency with all position-related software programs (Epic, Word, Outlook, etc.)
Required qualifications for this position include:
High School Diploma or GED
Five (5) years experience in insurance billing, such as (but not limited to), within an insurance follow-up department
WA State Drivers’ License
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 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: Claims
Work Locations: Bank Of America Bldg (WA239) 800 Fifth Ave Seattle, 98104
Req ID: 279191