Swedish Medical Center Senior Business Office Biller in Seattle, Washington
Swedish is calling a Senior Business Office Biller to our location in Seattle, WA.
We are seeking a Senior Business Office Biller to be responsible for preparation, editing and submission of accurate and timely insurance claims (electronic and manual) to third-party 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. Conducts research / analyze coding errors, document billing issues / trends, and assist with problem solving and solutions. This role will be responsible for coaching /mentoring new billing staff.Stay informed of new and/or changing regulations as well as payer policy time limits, and incorporates updates into daily operations. May be required to participate in internal and external audits, review audit findings and implements changes as required. Resolves issues holding up timely claim payment, including requests for medical records, coordination with Customer Service and other related departments.
Participates in the design of systems to support the business and operational needs of Swedish Medical Center. Collects and documents business requirements, and assists in the development of new workflows, policies and procedures, and documentation for the department.
In this position you will have the following responsibilities:
Ensure that the insurance claims and documentation meet the standards established by Swedish and external regulatory agencies.
Integrate new and changing legal requirements into current procedures in a timely and efficient manner.
Ensure efficient and accurate billing process inclusive of claim editing and submission.
Assist in developing and maintaining an up-to-date policy and procedure manual to properly guide the billing staff. Review and improve work procedures and performance so that the most productive and efficient methods are being used.
Work collaboratively with other Revenue Cycle departments to improve billing processes.
Mentor and coach other billing staff; acts in a super user capacity when implementing new billing processes or technology.
Interact with third party organizations related to claims processing.
Prioritize and organize workload based on department guidelines
Required qualifications for this position include:
Coursework/Training in Medical terminology and medical coding training in an accredited school or equivalent education & experience.
2 yrs experience with hospital insurance billing, including Medicare and Medicaid and private insurance billing experience.
Preferred qualifications for this position include:
Bachelor's Degree Finance, Business Management or health care administration.
A strong technical background including experience with automated systems.
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 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: Metropolitan Park East (WA152) 1730 Minor Avenue Metropolitan East Tower Seattle, 98101
Req ID: 232965