At EvergreenHealth, we value and encourage the individuality, involvement and expertise of our team members. Our high-tech, high-touch philosophy allows us to serve our patients to the highest level while appreciating each individual employee as a vital element in our highly skilled, compassionate patient care team. Our employees are dedicated to service excellence and family-centered care: with this commitment we partner providers with patients and families to deliver exceptional care to our community.
Responsible for a variety of office/clerical tasks relating to claims processing; contacts patients and responsible parties to resolve past-due accounts; investigates account status and initiates collection.
Essential Job Functions:
Identifies problem accounts with payors; investigates and corrects errors, follows-up on missing account information, and resolves past-due accounts.
Evaluates PPO/HMO insurance payments received to ensure accurate reimbursement and contractual write-offs.
Verifies eligibility of insurance coverage prior to patient visit.
Contacts payor websites to obtain claim status.
Re-bills claims when necessary, having knowledge of HCFA 1500, UB-92s and the required data necessary for payment of claims.
Accountable for following the guidelines for attendance, punctuality and overall dependability. Accountable for effective performance and follow-through of all assigned responsibilities and for completing responsibilities within designated (or agreed upon) timeframes. Completes responsibilities in a manner consistent with organizational policy, goals and values.
Responsible for the "Accountabilities" associated with this position in support of the organization.
Performs other duties as assigned.
License, Certification, Education or Experience:
REQUIRED for the position:
High School graduate or equivalent
Two (2) years of office support experience
Typing 50 WPM
Strong organizational skills, ability to multi-task and attention to detail
DESIRED for the position:
Experience in a medical of hospital environment
This position is covered by a collective bargaining agreement between EvergreenHealth and the SEIU.
Apply here: Are you a current EVERGREENHEALTH employee? Yes No
X This position is open for internal candidates only.