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

JOB SUMMARY:

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               <td align="left"><font style="font-size: 100%;">Job Description:<BR><BR>Patient Account Specialist I<BR>Patient Financial Services<BR>Seattle, WA<BR>FTE 40 Hours/Week<BR>Shift: 8 a.m. - 5:30 p.m.<BR>Competitive Salary + DOE<BR><BR>Voted one of the top hospitals in Seattle, WA Virginia Mason Medical Center offers healthcare professionals exciting opportunities to expand their careers in a team-oriented environment. Our multidisciplinary approach known as Team Medicine" gives every individual the chance to contribute to the well-being of our patients and the continuing success of our medical center.<BR><BR>The responsibilities of this position are principally to facilitate, educate and communicate to patients Virginia Mason Medical Center''s revenue cycle policies and procedures. This includes, but is not limited to, responding to patient inquiries/complaints regarding all billing aspects of a hospital based medical facility as well as maximizing reimbursement of self pay receivables via payment schedules, assessment for in-house charity programs or eligibility for state-sponsored insurance plans. This position will proficiently perform duties as outlined below in one of the following areas: Patient Account Specialist or Patient Service Specialist.<BR><BR>1. PATIENT ACCOUNT SPECIALIST<BR>A. In a high call volume setting, provides clarification and education to, as well as research of, patient billing concerns and complaints. Addresses broad range of inquiries covering items such as insurance regulation and processing protocols, charge coding discrepancies, benefit interpretation and adjudication.<BR>B. Provides financial counseling both in advance and post receipt of services. Provides assistance with reimbursement for under or un-insured individuals (including uncompensated care).<BR>C. Collects on private receivables and may participate in collection agency processes (ie: court appearances)<BR>D. Acts as resource to Medical Center for organizational, state, federal and commercial reimbursement procedures and policies as they may pertain to individual patient situations.<BR><BR>2. PATIENT SERVICE SPECIALIST<BR>A. Provides financial counseling in advance of services, collects prepayments, and provides cost estimates to patients, payers and providers.<BR>B. Responds to patient inquiries regarding benefits and charges<BR>C. Provides assistance with reimbursement to under or un-insured patients<BR>D. Provides bedside financial counseling services<BR>E. Acts as a resource to the medical center for organization, state and federal reimbursement procedures, policies and individual patient status situations.<BR><BR>This position requires a thorough understanding of third party payor reimbursement practices including state and federal programs, claims processing requirements; individual payor referral and authorization requirements and FDCPA requirements and limitations of first and 3rd party collection activity. Excellent communication and negotiating skills, strong organization skills; an understanding of medical terminology and coding are required for this position.<BR><BR>Come join                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             </font></td>
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