Payment Resolution Specialist

CommonSpirit Health•Seattle, WA

About The Position

Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health, you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more!

Requirements

Candidate must reside in Seattle Sound Region in WA State
This position requires working knowledge of third-party payer explanation of benefits
a working knowledge of health care billing process
an understanding of CPT-4 and ICD-9 coding
a working knowledge of the coordination of benefits
excellent verbal and written communication skills
proficiency and accuracy in operating a 10-key and a PC including spreadsheet software
strong customer service skills
the ability to audit effectively
strong analytical and problem solving skills
the ability to work with minimum supervision
and the ability to provide cross-training, as well as to be cross-trained.
A high school diploma or GED is required for this position.

Responsibilities

Manually process payments and electronically process Electronic Data Interface (EDI) payment files to our billing platforms.
Resolve payments that are rejected from electronic posting files.
Balance and reconcile posting to payment batches and to deposit.
Credit balance resolution through audit and analysis.
Communication with patients, third party payers, coworkers, via phone, and written correspondence to resolve unidentified payments, explanation of benefits and credit balances.
Prepare bank deposit by encoding and balancing checks, classing funds to appropriate general ledger and deposit categories.
Process satellite clinic deposit paperwork, class by location enter into cashbook validate receipts and collate.
Open and sort mail and lockbox items, batch preparation, validate checks, compile for manual posting.
Scanning, including preparation.

Benefits

Competitive starting wages (DOE) and training to grow within the company
Paid holidays, vacation and sick time
Medical/Dental/Vision Insurance plans
Flexible health spending accounts: DCFSA and FSA Health Savings Account - (HSA) for use with the high deductible health plan
Short and long term disability programs
Employer paid life insurance
401a and 403b retirement programs
Tuition Assistance for career growth and development
Bright Horizons programs for additional support with children, pets, dependent adults, and household needs
Employee Assistance Program (EAP) for you and your family
Voluntary Protection: Group Accident, Critical Illness, and Identify Theft