Seattle, WA, United States
What you'll be doing
Collecting active A/R from insurance payers (private and federal). Contact insurance payers by either phone or online inquiry regarding unpaid hospital claims. Reviewing remaining balances on account after insurances have paid to determine appropriate next action. Reviewing denials by insurances for entire claims and for line items to determine if additional follow up is needed or assistance from other departments and forwarded to them as needed, including care coordination, revenue coordination, registration, etc. Working independently and able to retrieve work queues from hospital billing/follow up system, setting priorities based on department standards and goals. Identifying and documenting ongoing payer issues and forward them to supervisor as needed. Utilizing online eligibility systems. Writing and submit appeals, including necessary supporting documentation. Updating insurance data of the patient. Following established billing office guidelines for adjustments to accounts and forward to appropriate work queues when required. Answering phone inquiries from patients and insurances regarding bills, charges and account status. Stay informed of new and/or changing regulations as well as payer policy time limits, and incorporates updates into daily operations. Resolves issues holding up timely claim payment, including requests for medical records, coordination with customer service and other related departments. Perform other duties as assigned.
What your background should be
Ms office. Insurance/medical. Accounts receivable/medical insurance.
Required Schooling / Training
Who is the client company
This is a leading staffing agency that provides qualified candidates to top companies worldwide.
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