Medical Billing - Insurance Follow-up

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

Location: Vancouver Innovation Center, 18110 SE 34th St, Vancouver, WA 98683

Schedule : Monday through Friday, 8:00am to 4:30pm.

Compensation : Hourly compensation minimum is $21.71/hr.

Actual rate at hire will be commensurate with experience.

Base Medical, Dental, and Rx Insurance premium is 100% paid for by Vancouver Clinic for full-time employees.

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.

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.


* 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 Microsoft Word and Excel.


* Excellent organizational skills required.


* Must be able to work in a highly demanding atmosphere, with a variety of personalities within a fast paced environment.


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