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Business Office Insurance Follow-up Representative

Providence Health & Services

Seattle, WA 98194
  • Healthcare
  • Customer Service
  • Management
  • Administrative / Clerical
Providence Health & Services
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Job Details

**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 Groups 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 Mission**
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.
**About Us**
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, were 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.
**Schedule:** Full-time
**Shift:** Day
**Job Category:** Billing/Insurance
**Location:** Washington-Seattle
**Work Locations:** Metropolitan Park East (WA152) 1730 Minor Avenue Metropolitan East Tower Seattle, 98101
**Req ID:** 238357
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