高级患者账户代表
Senior Patient Accounts Representative
这是一个远程职位。
负责准备、编辑和提交准确且及时的保险理赔（电子和纸质）至监管支付方（包括Medicare、Medicaid、L&I、VA、犯罪受害者及健康选项），涵盖首次、二次、延迟费用及更正的理赔。在EPIC和理赔清洗系统中审查并解决计费错误。验证提交给支付方的理赔准确性。理赔流程包括核对理赔运行、创建电子理赔文件以及解决错误。解决理赔编辑问题，并与第三方清算机构或理赔清洗供应商互动以生成干净的理赔。识别重复的计费错误和趋势，并在必要时向主管报告。进行研究/分析编码错误，记录计费问题/趋势，并协助解决问题和解决方案。处理应支付给监管支付方的信用余额
普罗维登斯瑞典护理人员不仅仅是被重视——他们至关重要。加入我们的瑞典共享服务团队，在以患者为中心、全人护理的文化中茁壮成长，这种文化建立在理解、承诺和相互尊重的基础上。你的声音在这里很重要，因为我们知道，要激励和留住最优秀的人才，我们必须赋予他们权力。
所需资格：
- 课程/培训：在认证学校接受的医学术语和医学编码培训。或在计费岗位上的等效在职培训。
- 1年医院保险监管计费经验，包括Medicare、Medicaid和/或劳动与工业（L&I）。
优选资格：
- 财务、企业管理或医疗保健管理学士学位。
- 强大的技术背景，包括使用自动化系统的经验。
- 有使用Provider One、MECA、FSS0和/或CWF的经验
为什么加入普罗维登斯瑞典？
我们一流的福利专为支持你和你的家庭保持健康、职业成长和实现财务安全而设计。我们照顾你，这样你就可以专注于实现我们改善每位患者健康和福祉的使命。
最初发布于喜马拉雅山
查看英文原文
This is a remote role.
Responsible for preparation, editing and submission of accurate and timely insurance claims (electronic and manual) to regulatory payers (including Medicare, Medicaid, L&I, VA, Crime Victims & Healthy Options), for primary, secondary, late charge and corrected claims. Reviews and resolves billing edits in EPIC and in claims scrubber system. Verifies accuracy of claims submitted to payers. Claims process includes reconciling claim runs, creating electronic claim files, and resolving errors. Resolve claims editing issues and interact with third party clearinghouse or the claims scrubber vendor to produce clean claims. Identifies recurring billing errors and trends and reports them to supervisor when necessary. Conduct research / analyze coding errors, document billing issues / trends, and assist with problem solving and solutions. Process credit balances due to regulatory payers
Providence Swedish caregivers are not simply valued – they’re invaluable. Join our team at Swedish Shared Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required qualifications:
- Coursework/Training: Medical terminology and medical coding training in an accredited school. Or equivalent on-the-job training in a billing role.
- 1 year of experience in hospital insurance regulatory billing, including Medicare, Medicaid and / or Labor & Industries (L&I).
Preferred qualifications:
- Bachelor's Degree in Finance, Business Management or health care administration.
- A strong technical background including experience with automated systems.
- Experience working with Provider One, MECA, FSS0 and/or CWF
Why Join Providence Swedish?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our mission of improving the health and wellbeing of each patient we serve.
Originally posted on Himalayas