Medical Billing Representative - Insurance Follow Up

Vancouver Clinic is seeking a full-time Patient Account Representative to join our Insurance Follow-up team.

Location: The VIC (18110 SE 34th St - Vancouver, WA 98683)

Schedule: Monday through Friday, 8:00am to 5:00pm.

Hiring Range:generally between $22.25-$26.60, and placement in the range depends on an evaluation of experience.

Additional details: The Patient Account Representative team has the potential for off-site work after successful completion of training and meeting the requirements for working off-site.

This requires an employee to live in the local Vancouver, WA or Portland, OR area and have a secure home network with minimum upload (5 mbps) and download speeds (25 mbps).

Responsible for working outstanding insurance claims having no response from payors, having edits, and having received claim form related denials.

Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims.

Provide information over the phone for billing related questions directed to the Patient Financial Services office.

Review credit balances for possible refunds.

RESPONSIBILITIES


* Thoroughly and timely work follow up records in work queues as defined by policies and procedures.


* Process insurance claims correspondence.

Read and interpret EOB's (Explanation of Benefits)


* Process appropriate refund in accordance with department policies and procedures.


* Present unresolved concerns to Supervisor for resolution immediately with related documentation.


* Document account activity accurately and promptly during or immediately following each processed encounter.


* Responsible for the accurate and timely submission of claims, denials, and re-bills of insurance claims.


* Responsible for the analysis and necessary corrections of patient accounts as it pertains to clean claim submissions or re-bills.


* Responsible for maintaining work queues.


* Responsible for telephone and/or written correspondence with insurance companies for claims follow up.


* Responsible for correctly identifying and updating various types of insurance entry information.


* Maintain basic understanding and knowledge of health insurance plans, policies and procedures.

EDUCATION AND SKILLS


* High school diploma or equivalent.


* Minimum of one year experience in health care accounting within a medical office strongly preferred, or equivalent combination of education and experience.


* Knowledge of private billing and collections regulations experience preferred.


* Must be a proactive problem solver, foster teamwork and trust, and be highly skilled in prioritizing, organizing, planning, communication and staying on track.


* Demonstrated customer service expertise.


* Knowledge of government, commercial, and third party insurance contract practices and claims processing procedures preferred.


* Keyboarding minimum 40 wpm.


* Accurate 10 key by touch and familiarity with Mi...