Insurance Representative I

Swedish Health Services Seattle , WA 98113

Posted 2 months ago

Swedish Medical Group is looking for an Insurance Representative I (1.0 FTE, Days) to work for Central Business Services in Seattle, WA.

The Insurance Representative I plays a vital role on the Central Business Services team, demonstrating the Swedish values of patient-centered care and service; respect, caring and compassion; teamwork and partnership; continuous learning and improvement; and leadership.

In this position you will:

  • Post private payments, insurance payments, disallows and/or denials to appropriate patient accounts

  • 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

  • Audit charges to ensure accurate procedure codes, billing data and patient information is submitted

  • Trace errors, record adjustments to proper accounts and determine the appropriate destination for unidentified funds

  • Ensure accurate account information in all billing areas and updates the system when billing information is incorrect or missing

  • Initiate claims for billing to secondary insurance companies for coordination of benefits

  • Ensure deposits balance to posting and resolves any discrepancies

  • Resolve unidentifiable payments from agencies in an appropriate manner

  • Effectively process third-party payer and patient over payments

Required qualifications for this position include:

  • High school diploma or GED equivalent

  • 1 year insurance payment posting experience in a health care environment

  • General knowledge of bookkeeping, basic accounting and familiarity with medical billing and medical insurance industry practices

  • General knowledge of CPT and ICD9 codes

  • Analytical, interpersonal and communication skills required

  • Proficient with MS Office Suite programs

  • Ability to concentrate and pay close attention to details

  • Typing skills of 35 wpm

Preferred qualifications for this position include:

  • Experience with EPIC

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.


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Insurance Representative I

Swedish Health Services