Patient Account Rep - Insurance Followup

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 central business office.

Review credit balances for possible refunds.

EDUCATION AND EXPERIENCE:


* High school diploma or equivalent.


* Minimum of one year of experience in health care medical billing required.


* Experience with private insurance billing and collections regulations experience preferred.


* Experience with government, commercial, and third-party insurance contract practices and claims processing procedures preferred.

SCHEDULE: Monday - Friday 8am to 5pm

HIRING RANGE: $21.50.10/hr to $26.50/hr, commensurate with applicable experience.

ESSENTIAL FUNCTIONS AND 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.


* 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 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.

SKILLS and ABILITIES


* Demonstrated customer service expertise.


* Keyboarding minimum 40 wpm.


* Accurate 10 key by touch.


* Skilled at using Microsoft Office products, particularly Microsoft Word and Excel.

Pay Range:
$19.22 - $26.91

The above information is intended to indicate the general nature and level of work required in this position.

It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job.

We offer a competitive Total Rewards Program.

Eligibility for benefits is dependent on factors such as position type and FTE.

Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment.

Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protec...