Medical Billing Representative - Insurance Follow Up

Vancouver Clinic•Vancouver, WA

1d•$22 - $31•Hybrid

About The Position

Vancouver Clinic is seeking a full-time Patient Account Representative to join our Insurance Follow-up team. The Patient Account Representative team has the potential for off-site work after successful completion of training and meeting the requirements for working off-site. This requires an employee to live in the local Vancouver, WA or Portland, OR area and have a secure home network with minimum upload (5 mbps) and download speeds (25 mbps). Responsible for working outstanding insurance claims having no response from payors, having edits, and having received claim form related denials. Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims. Provide information over the phone for billing related questions directed to the Patient Financial Services office. Review credit balances for possible refunds.

Requirements

High school diploma or equivalent.
Minimum of one year experience in health care accounting within a medical office strongly preferred, or equivalent combination of education and experience.
Knowledge of private billing and collections regulations experience preferred.
Must be a proactive problem solver, foster teamwork and trust, and be highly skilled in prioritizing, organizing, planning, communication and staying on track.
Demonstrated customer service expertise.
Knowledge of government, commercial, and third party insurance contract practices and claims processing procedures preferred.
Keyboarding minimum 40 wpm.
Accurate 10 key by touch and familiarity with Microsoft Word and Excel.
Excellent organizational skills required.
Must be able to work in a highly demanding atmosphere, with a variety of personalities within a fast paced environment.
Excellent verbal and written communication skills, and extensive hands-on computer background.
Must have reliable and predictable attendance.
Applicants must be authorized to work for any employer in the U.S.
Offers are contingent on successful completion of background screen and immunization requirements.

Responsibilities

Thoroughly and timely work follow up records in work queues as defined by policies and procedures.
Process insurance claims correspondence.
Read and interpret EOB’s (Explanation of Benefits)
Process appropriate refund in accordance with department policies and procedures.
Present unresolved concerns to Supervisor for resolution immediately with related documentation.
Document account activity accurately and promptly during or immediately following each processed encounter.
Responsible for the accurate and timely submission of claims, denials, and re-bills of insurance claims.
Responsible for the analysis and necessary corrections of patient accounts as it pertains to clean claim submissions or re-bills.
Responsible for maintaining work queues.
Responsible for telephone and/or written correspondence with insurance companies for claims follow up.
Responsible for correctly identifying and updating various types of insurance entry information.
Maintain basic understanding and knowledge of health insurance plans, policies and procedures.

Benefits

medical
dental
vision
life insurance
AD&D
long term disability
health savings account
flexible spending account
employee assistance program
multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.)
401k retirement plan
employer matching contribution up to 4%