Lead Reimbursement Specialist - Physicians Billing

Providence • Renton, WA

6d

About The Position

Oversee and coordinate the research of patient and insurance credit balances using online work lists, ensuring that appropriate refunds are requested and processed efficiently. Supervise the timely handling of refund requests received from Insurance Companies and Responsible Parties, maintaining high standards of accuracy and compliance. Approve and process credit balances requested by department staff, within established authorization limits. Serve as the primary resource and subject matter expert for billing office staff regarding credit balance procedures, providing guidance and support as needed. Providence caregivers are not simply valued – they’re invaluable. Join our team at Swedish Health Services DBA Swedish Medical Group 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

• 4 years in medical billing, insurance reimbursement, or claims processing.
• Strong understanding of payer contracts, third-party payer requirements, and government regulations (Medicare, Medicaid).
• Understanding of medical coding systems (CPT, ICD-10).
• Accounts receivable management, denial analysis, and appeals processing.
• Training and mentoring staff, including onboarding new team members.
• Ability to monitor team performance, conduct quality audits, and implement process improvements.

Nice To Haves

• Associate's Degree in Accounting, finance or a related field.
• Or Five years’ direct experience in accounting or finance in healthcare setting.

Responsibilities

• Oversee and coordinate the research of patient and insurance credit balances using online work lists
• Supervise the timely handling of refund requests received from Insurance Companies and Responsible Parties
• Approve and process credit balances requested by department staff, within established authorization limits
• Serve as the primary resource and subject matter expert for billing office staff regarding credit balance procedures

Benefits

• Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security.
• We take care of you, so you can focus on delivering our mission of improving the health and wellbeing of each patient we serve.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree