Swedish Medical Group is looking for an Insurance Representative I (1.0 FTE, Days) to work for Central Business Services in Seattle, WA.
Post fee-for-service payments, follow up on insurance denials, submit claims to secondary insurers, and calculate the precise patient responsibility portion to be billed. Re-submit claims to government agencies, medical service bureaus, and insurance companies, if necessary.
In this position you will:
Accurately and timely post private payments, insurance payments, disallows and/or denials to appropriate patient account; calculate patient responsibility; interpret explanation of benefit message codes; identify payment discrepancies by contacting insurance carrier; and determine if re-bill is necessary.
Ensure patient satisfaction through timely and effective patient account maintenance including assistance with billing, third-party payments, adjustments, information verification, and record maintenance.
Re-submit claims to government agencies, medical service bureaus, and insurance companies ensuring that accounts are billed appropriately by auditing charges to ensure accurate procedure codes, billing data, and patient information submitted.
Trace errors, record adjustments to proper accounts, and determine the appropriate destination for unidentified funds.
Ensure accurate account information in all billing areas. Obtain correct information and update system when billing information is incorrect or missing.
Required qualifications for this position include:
About Swedish Medical Group:
Swedish Medical Group (SMG) is a successful, performance-driven division of Swedish Health Services, the largest non-profit health provider in the Greater Seattle area. The SMG network includes more than 900 providers across 108 primary care and specialty care clinics.
Swedish Health Services