Medical Insurance Biller

Virginia Mason Medical Center•Seattle, WA

3d•$23 - $36•Onsite

About The Position

As our Medical Insurance Biller, you will complete the processing of inappropriately paid accounts by contacting payers, processing payer correspondence, rebilling, working denials, and conducting appeals. This ensures the highest possible reimbursement, meets DRO goals, and maintains patient satisfaction, and you will proficiently perform duties in both professional and facility billing platforms. Every day you will communicate with insurance carriers, patients, and both internal and external customers via phone and written correspondence. You will work with mistake-proofing successive checks to ensure clean claims are being sent to insurance carriers, and correct CPT and ICD-10 codes based on certified coder recommendations, updating registration and submitting dictionary updates (HCPCS). To be successful in this role, you will perform follow-up and reconciliation of both credit and debit accounts, diligently auditing records and claims submissions. You will also perform appeals when necessary, obtain retro-authorizations for claims reconsideration, and contribute to root cause analysis and trend reporting to your supervisor, assuring mistake-proofing measures can be implemented.

Requirements

Ability to maintain current knowledge of assigned payer billing requirements.
Excellent analytical, problem solving, and communication skills.
Demonstrated knowledge of medical terminology, billing/collection practices and workflows.
Basic familiarity with Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-10), Tenth Edition codes is preferred.

Nice To Haves

Associate's degree or relevant certification in medical billing or coding

Responsibilities

Complete the processing of inappropriately paid accounts by contacting payers, processing payer correspondence, rebilling, working denials, and conducting appeals.
Ensure the highest possible reimbursement, meet DRO goals, and maintain patient satisfaction.
Proficiently perform duties in both professional and facility billing platforms.
Communicate with insurance carriers, patients, and both internal and external customers via phone and written correspondence.
Work with mistake-proofing successive checks to ensure clean claims are being sent to insurance carriers.
Correct CPT and ICD-10 codes based on certified coder recommendations, updating registration and submitting dictionary updates (HCPCS).
Perform follow-up and reconciliation of both credit and debit accounts.
Diligently audit records and claims submissions.
Perform appeals when necessary.
Obtain retro-authorizations for claims reconsideration.
Contribute to root cause analysis and trend reporting to your supervisor, assuring mistake-proofing measures can be implemented.