Medical Billing Representative-Insurance Follow Up
About The Position
Vancouver Clinic is hiring a Medical Billing Representative-Insurance Follow Up for its Patient Financial Services team. The role focuses on following up on outstanding insurance claims with no payer response, claim edits, and claim form denials, while helping maintain accounts receivable at acceptable aging levels through prompt follow-up on unpaid and denied claims. The representative answers billing-related phone inquiries; reviews credit balances for possible refunds; processes insurance correspondence and explanations of benefits; and submits claims, denials, and rebills accurately and on time. The role also involves correcting patient accounts to support clean claim submission, maintaining work queues, communicating with insurance companies about claim follow-up, and updating insurance information. The successful candidate supports patients and payers professionally and accurately and has a strong working knowledge of health insurance plans, policies, and procedures. The position is based at The VIC in Vancouver, Washington, with a Monday-through-Friday schedule from 8:00 a.m. to 5:00 p.m. Remote work may be available after successful completion of on-site training and meeting off-site work requirements. Employees working off-site must live in the local Vancouver, Washington, or Portland, Oregon, area and have a secure home network with minimum speeds of 5 Mbps upload and 25 Mbps download. The position may also require maintaining an activated smartphone capable of receiving text messages and/or using required apps for multi-factor authentication. The Clinic serves patients considering or seeking care across a wide range of medical decisions, including vaccinations, reproductive health, end-of-life decision-making, and gender-affirming treatment. Working with a diverse population of patients and colleagues, with or without reasonable accommodation, is an essential function of all Clinic positions.
Requirements
- High school diploma or equivalent.
- At least one year of experience in health care accounting within a medical office.
- Customer service experience.
- Strong working knowledge of health insurance plans, policies, and procedures.
- For off-site work, live in the local Vancouver, Washington, or Portland, Oregon, area and have a secure home network with minimum upload speed of 5 Mbps and download speed of 25 Mbps.
- May be required to maintain an activated smartphone that receives text messages and/or use required apps for multi-factor authentication.
- Applicants must be authorized to work for any employer in the United States; the Clinic is unable to sponsor or take over sponsorship of an employment visa.
- Offers are contingent on successful completion of background screening and immunization requirements.
Nice To Haves
- Customer service experience in a healthcare or call-center setting is preferred.
Responsibilities
- Follow up on outstanding insurance claims with no payer response, claim edits, and claim form denials.
- Help maintain accounts receivable at acceptable aging levels by promptly following up on unpaid and denied claims.
- Answer billing-related phone inquiries.
- Review credit balances for possible refunds.
- Process insurance correspondence and explanations of benefits.
- Submit claims, denials, and rebills accurately and on time.
- Correct patient accounts to support clean claim submission.
- Maintain work queues.
- Communicate with insurance companies regarding claim follow-up.
- Update insurance information.
- Support patients and payers with professionalism and accuracy.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Accidental death and dismemberment insurance
- Long-term disability insurance
- Health savings account
- Flexible spending account
- Employee assistance program
- Supplemental benefits, including voluntary life, critical illness, accident, hospital indemnity, identity theft protection, and legal services
- 401(k) retirement plan with employer matching contributions up to 4%
- Competitive Total Rewards Program
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
