Billing and Collections Representative
About The Position
Responsible for collecting active A/R from insurance payers including but not limited to commercial, Blue Cross, Blue Shield, Aetna, Uniform Medical, United Healthcare, HMOs, PPOs, and other payers. Contact insurance payers by either phone or online inquiry regarding unpaid hospital claims. Review remaining balances on account after insurances have paid to determine appropriate next action. Review 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. Providence Swedish caregivers are not simply valued – they’re invaluable. Join our team at Swedish Shared Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Requirements
- Medical terminology and medical coding training in an accredited school or equivalent on-the-job training in a follow-up role required.
- 2 years of experience in insurance billing/insurance follow-up or insurance claims processing and/or customer service, including private insurance.
Nice To Haves
- Bachelor's Degree in Finance, Business Management or health care administration.
- A strong technical background including experience with automated systems.
Responsibilities
- Collecting active A/R from insurance payers.
- Contacting insurance payers by phone or online inquiry regarding unpaid hospital claims.
- Reviewing remaining balances on accounts after insurance payments to determine next actions.
- Reviewing denials by insurances for claims and line items to determine if further follow-up is needed or if assistance from other departments is required.
- Forwarding necessary information to other departments such as Care Coordination, Revenue Coordination, and Registration.
Benefits
- Best-in-class benefits uniquely designed to support you and your family in staying well, growing professionally and achieving financial security.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
