Medical Billing Representative - Insurance Follow Up

The Vancouver Clinic P.S.•Vancouver, WA

2d•Hybrid

About The Position

Vancouver Clinic is hiring a Patient Account Representative to join our Patient Financial Services team. In this role, you’ll work 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. You’ll also 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, and support patients and payers with professionalism, accuracy, and strong working knowledge of health insurance plans, policies, and procedures.

Requirements

High school diploma or equivalent.
Minimum of one year of experience in health care accounting within a medical office required.
Customer service experience required, preferably in a healthcare or call-center setting.
Ability to work, with or without reasonable accommodation, with a diverse population of patients and colleagues seeking or considering care in all areas.
Applicants must be authorized to work for any employer in the U.S.

Nice To Haves

Live in the local Vancouver, WA or Portland, OR area.
Have a secure home network with minimum upload (5 mbps) and download speeds (25 mbps).
Maintain an activated smartphone that receives text messaging and/or ability to have a required app such as authenticator apps as some job functions require use of multi-factor authentication (MFA).

Responsibilities

Work outstanding insurance claims with no payer response, claim edits, and claim form denials.
Maintain accounts receivable at acceptable aging levels through prompt follow-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, accuracy, and strong working 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%