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Job Field: Office Jobs
Location: SEATTLE, WA
Salary: $-
Job Type: Part Time

JOB SUMMARY:

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               <td align="left"><font style="font-size: 100%;">JOB SUMMARY: Responsible for collecting active A/R from insurance payers including but not limited to commercial, Blue Cross, Blue Shield, Aetna, Uniform Medical, United Health Care, HMOs, PPOs, and other payers. Contact insurance payers by either phone or online inquiry regarding unpaid hospital claims. Review remaining balances on account after insurances have paid to determine appropriate next action. Review denials by insurances for entire claims and for line items to determine if additional follow up is needed or assistance from other departments and forwarded to them as needed, including Care Coordination, Revenue Coordination, Registration, etc.Works independently and is able to retrieve work queues from Epic hospital billing/follow up system, setting priorities based on department standards and goals. Identify and document ongoing payer issues and forward them to supervisor as needed. Utilize online eligibility systems including EPIC (Real Time Eligibility), Passport, and One Health Port to determine correct eligibility. Write and submit appeals, including necessary supporting documentation. Update patient-?s insurance data in EPIC as required or appropriate. Follow established Billing Office guidelines for adjustments to accounts and forward to appropriate work queues when required. Answer phone inquiries from patients and insurances regarding bills, charges and account status.Stay informed of new and/or changing regulations as well as payer policy time limits, and incorporates updates into daily operations. Resolves issues holding up timely claim payment, including requests for medical records, coordination with Customer Service and other related departments. Perform other duties as assigned.QUALIFICATIONSThe minimum qualifications listed below are representative of the knowledge, skill and abilities needed to perform this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job. Experience and Skills: Minimum two years experience in hospital insurance billing, including private insurance billing experience required. A strong technical background including experience with automated systems preferred; proficient in working with Epic highly desirable. Knowledge of the revenue cycle and/or regulatory requirements as they relate to the hospital and professional billing and collections for third party insurance payers required. Detailed knowledge and understanding of ICD-9, CPT, and HCPCS coding classification systems, familiar with medical terminology and its applications, insurance rules and regulations. - Knowledge of state and federal regulations as they pertain to billing processes and procedures.- Knowledge of insurance claim processing and third party reimbursement.- Knowledge and detailed understanding of all negotiated agreements.- Knowledge of MS Windows and Office Applications- Skill in good oral, written, and interpersonal communication.- Skill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         </font></td>
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