Patient Account Rep II - Insurance Follow-Up
Renton, WA Renton, WA Full-time Full-time $20.
54 - $34.
58 an hour $20.
54 - $34.
58 an hour 4 days ago 4 days ago 4 days ago JOB Overview:
Responsibilities include review of billed accounts to determine if the account needs to be turned to patient liability, or if secondary or tertiary insurance needs to be billed and resolution of the insurance liability.
This position is responsible for contacting insurance companies including governmental entities to inquire about the status of outstanding or underpaid claims, and to re-bill insurance companies as needed to expedite payment.
The follow-up representative ensures that all third party and patient payments, adjustments and denials are posted accurately and timely to ensure effective management of accounts receivable.
PREREQUISITES:
Excellent customer service skills.
High school graduate or equivalent (G.
E.
D.
) preferred.
Prior experience working with insurance claim follow-up preferred.
One year experience in a healthcare business office environment preferred.
Data entry skills and basic knowledge of Excel, Word and Outlook preferred.
Demonstrates the ability to communicate effectively in English, including verbally and in writing.
Effective communication includes the ability to spell accurately and write legibly.
Prior experience with McKesson Star system, ePREMIS, and Chartmaxx preferred.
Qualifications:
Excellent organizational and time management skills.
Is flexible, adaptable, and can effectively cope with change.
Demonstrates skills in typing and use of personal computers.
Experience with analyzing EOB's from various insurance companies/payers.
Demonstrates the ability to communicate with tact, poise, courtesy, respect, and compassion.
Demonstrates effective communication and interpersonal skills within a diverse population.
Able to prioritize tasks, carry out assignments independently and within a team, and to practice good judgement.
Demonstrate a commitment to the organizational values by displaying a professional attitude and appropriate conduct in all situations.
Is neat and well groomed in appearance.
PERFORMANCE RESPONSIBILITIES Maintains confidentiality of all protected health information.
Makes appropriate notes on patient's accounts as needed.
Returns all phone calls within 24 hours of receipt of message.
Adheres to policies and procedures as required by VMC.
Participate in and attend meetings and training as required.
Provides backup coverage to the billers when needed.
Regular and punctual attendance is a condition of employment.
Notify PFS Director and Supervisor when new insurance regulations are identified.
Responsible to follow-up with the appropriate payer for claims status.
Explains policies and procedures to customers, solves problems independently and as part of a team.
Cross-trains for other related business office functions to ensure smooth operation of the department.
Outgoing correspondence (internal or external) must be written in a clear, concise, and professional manner.
Performs all job functions in a manner consistent with Valley's expectations as defined in Valley Values.
Responsible for correcting patient insurance information on accounts in accordance with the Insurance Carrier Change Policy and Procedure.
Completes documentation of daily activities for individual productivity tracking and for patient account volume management.
Maintains knowledge of payer requirements as a fundamental business practice responsibility under Valley Medical Center's Corporate Compliance program.
Understands and adheres to all federal, state, and local payer-billing requirements.
Process Explanation of Benefits (EOB's) and vouchers, to pursue payment of claims.
This includes appealing denied services, requesting bills for secondary payers, transferring account status to self-pay, requesting adjustments for administrative, charity care, special patient care scholarship programs, or any other claims issues.
Performs other related job duties as required.
Job Type:
Full-time Pay:
$20.
54 - $34.
58 per hour Expected hours:
40 per week
Benefits:
401(k) 401(k) matching Dental insurance Employee discount Health insurance Life insurance Paid time off Retirement plan Vision insurance Schedule:
Day shift Monday to Friday Ability to commute/relocate:
Renton, WA 98055:
Reliably commute or planning to relocate before starting work (Required)
Experience:
healthcare insurance claim follow-up:
2 years (Required) healthcare administrative:
2 years (Required) McKesson Star system, ePREMIS, and Chartmaxx:
2 years (Required) Work Location:
Hybrid remote in Renton, WA 98055.
Estimated Salary: $20 to $28 per hour based on qualifications.
54 - $34.
58 an hour $20.
54 - $34.
58 an hour 4 days ago 4 days ago 4 days ago JOB Overview:
Responsibilities include review of billed accounts to determine if the account needs to be turned to patient liability, or if secondary or tertiary insurance needs to be billed and resolution of the insurance liability.
This position is responsible for contacting insurance companies including governmental entities to inquire about the status of outstanding or underpaid claims, and to re-bill insurance companies as needed to expedite payment.
The follow-up representative ensures that all third party and patient payments, adjustments and denials are posted accurately and timely to ensure effective management of accounts receivable.
PREREQUISITES:
Excellent customer service skills.
High school graduate or equivalent (G.
E.
D.
) preferred.
Prior experience working with insurance claim follow-up preferred.
One year experience in a healthcare business office environment preferred.
Data entry skills and basic knowledge of Excel, Word and Outlook preferred.
Demonstrates the ability to communicate effectively in English, including verbally and in writing.
Effective communication includes the ability to spell accurately and write legibly.
Prior experience with McKesson Star system, ePREMIS, and Chartmaxx preferred.
Qualifications:
Excellent organizational and time management skills.
Is flexible, adaptable, and can effectively cope with change.
Demonstrates skills in typing and use of personal computers.
Experience with analyzing EOB's from various insurance companies/payers.
Demonstrates the ability to communicate with tact, poise, courtesy, respect, and compassion.
Demonstrates effective communication and interpersonal skills within a diverse population.
Able to prioritize tasks, carry out assignments independently and within a team, and to practice good judgement.
Demonstrate a commitment to the organizational values by displaying a professional attitude and appropriate conduct in all situations.
Is neat and well groomed in appearance.
PERFORMANCE RESPONSIBILITIES Maintains confidentiality of all protected health information.
Makes appropriate notes on patient's accounts as needed.
Returns all phone calls within 24 hours of receipt of message.
Adheres to policies and procedures as required by VMC.
Participate in and attend meetings and training as required.
Provides backup coverage to the billers when needed.
Regular and punctual attendance is a condition of employment.
Notify PFS Director and Supervisor when new insurance regulations are identified.
Responsible to follow-up with the appropriate payer for claims status.
Explains policies and procedures to customers, solves problems independently and as part of a team.
Cross-trains for other related business office functions to ensure smooth operation of the department.
Outgoing correspondence (internal or external) must be written in a clear, concise, and professional manner.
Performs all job functions in a manner consistent with Valley's expectations as defined in Valley Values.
Responsible for correcting patient insurance information on accounts in accordance with the Insurance Carrier Change Policy and Procedure.
Completes documentation of daily activities for individual productivity tracking and for patient account volume management.
Maintains knowledge of payer requirements as a fundamental business practice responsibility under Valley Medical Center's Corporate Compliance program.
Understands and adheres to all federal, state, and local payer-billing requirements.
Process Explanation of Benefits (EOB's) and vouchers, to pursue payment of claims.
This includes appealing denied services, requesting bills for secondary payers, transferring account status to self-pay, requesting adjustments for administrative, charity care, special patient care scholarship programs, or any other claims issues.
Performs other related job duties as required.
Job Type:
Full-time Pay:
$20.
54 - $34.
58 per hour Expected hours:
40 per week
Benefits:
401(k) 401(k) matching Dental insurance Employee discount Health insurance Life insurance Paid time off Retirement plan Vision insurance Schedule:
Day shift Monday to Friday Ability to commute/relocate:
Renton, WA 98055:
Reliably commute or planning to relocate before starting work (Required)
Experience:
healthcare insurance claim follow-up:
2 years (Required) healthcare administrative:
2 years (Required) McKesson Star system, ePREMIS, and Chartmaxx:
2 years (Required) Work Location:
Hybrid remote in Renton, WA 98055.
Estimated Salary: $20 to $28 per hour based on qualifications.
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