Cash Specialist

Seattle Children's Hospital•Seattle, WA

20h•Hybrid

About The Position

This role ensures that assigned accounts are promptly and accurately billed and/or reimbursed. The specialist is expected to consistently achieve documented team production expectations, including daily management of Work in Progress (WIP) in all systems. Quality audits should reflect thorough follow-up, clear and professional documentation, and adherence to processes and compliant billing practices encompassing regulatory and departmental requirements. The role involves appropriately using tools and resources, such as payer websites, to efficiently assess claims status. Account concerns must be escalated through appropriate internal and external documented channels. Reconsiderations and appeals need to be professionally written and tracked efficiently. Adjustments must be appropriately classified and posted, and credit balances reviewed for accuracy with resolution steps processed according to departmental standards. Incoming correspondence should be managed in an organized, efficient, and effective manner. Active participation in daily huddles, team meetings, or ad hoc discussions is expected. Team process improvements and objectives are to be supported, including backing up team members as needed. Optimal and timely customer service must be provided to payers, patients, families, staff from other departments, and co-workers. Collaboration with departmental staff and utilization of other resources should occur appropriately. While this role is hybrid, the candidate must be physically based in WA State.

Requirements

Minimum of one year of professional or hospital billing or accounts receivable follow-up experience, OR
Minimum of two years experience in a Revenue Cycle role working primarily with payors, OR
Completion of the Seattle Children's Revenue Cycle Coordinator program or accredited medical billing/coding program.
Minimum of two years of experience in Windows environment.
Must be physically based in WA State.

Nice To Haves

More than two years clinic or hospital billing or accounts receivable follow-up experience.
Experience working with medical claims and electronic data interchange systems, e.g. Epic, Relay Health, Xactimed/Med Assets.
Medical billing/coding experience.
Bachelor’s degree or certified medical billing credential such as CRCS, Certified Revenue Cycle Specialist.
Basic project management experience.

Responsibilities

Ensure that assigned accounts are promptly and accurately billed and/or reimbursed.
Achieve documented team production expectations on assigned accounts, including daily management of WIP in all systems.
Maintain quality audits reflecting thorough follow-up, clear, professional documentation, and process adherence.
Ensure quality audits reflect compliant billing practices encompassing regulatory and departmental requirements.
Appropriately use tools and resources (e.g. payer websites) to efficiently assess claims status.
Appropriately escalate account concerns through appropriate internal and external documented channels.
Professionally write and efficiently track reconsiderations and appeals.
Appropriately classify and post adjustments.
Review credit balances for accuracy and process resolution steps according to departmental standards.
Manage incoming correspondence in an organized, efficient, and effective manner.
Actively participate in daily huddles, team meetings, or ad hoc discussions.
Support team process improvements and objectives, including backing up team members as needed.
Provide optimal and timely customer service to payers, patients, families, staff from other departments, and co-workers.
Collaborate with departmental staff and appropriately utilize other resources.