Senior Patient Accounts Representative

Providence•Seattle, WA

About The Position

Responsible for preparing, editing, and submitting accurate and timely electronic and manual insurance claims to regulatory payers, including Medicare, Medicaid, L&I, VA, Crime Victims, and Healthy Options. Claims include primary, secondary, late charge, and corrected claims. The role reviews and resolves billing edits in EPIC and a claims scrubber system, verifies claim accuracy, reconciles claim runs, creates electronic claim files, and resolves errors. It also involves working with a third-party clearinghouse or claims scrubber vendor to produce clean claims; identifying and reporting recurring billing errors and trends; researching and analyzing coding errors; documenting billing issues and trends; assisting with problem-solving and solutions; and processing credit balances due to regulatory payers. The position is with Swedish Shared Services, part of Providence Swedish. The organization describes its culture as patient-focused, whole-person care built on understanding, commitment, and mutual respect.

Requirements

Medical terminology and medical coding training in an accredited school, or equivalent on-the-job training in a billing role.
One year of experience in hospital insurance regulatory billing, including Medicare, Medicaid, and/or Labor & Industries (L&I).

Nice To Haves

Bachelor's degree in Finance, Business Management, or health care administration.
Strong technical background, including experience with automated systems.
Experience working with Provider One, MECA, FSS0, and/or CWF.

Responsibilities

Prepare, edit, and submit accurate and timely electronic and manual insurance claims to regulatory payers.
Submit primary, secondary, late charge, and corrected claims.
Review and resolve billing edits in EPIC and the claims scrubber system.
Verify the accuracy of claims submitted to payers.
Reconcile claim runs, create electronic claim files, and resolve errors.
Resolve claims-editing issues and work with the third-party clearinghouse or claims scrubber vendor to produce clean claims.
Identify recurring billing errors and trends and report them to the supervisor when necessary.
Research and analyze coding errors, document billing issues and trends, and assist with problem-solving and solutions.
Process credit balances due to regulatory payers.