Catholic Health Initiatives Insurance Follow-Up Rep in TACOMA, Washington

Insurance Follow-Up Rep

Description

CHI Franciscan Health has exciting and rewarding careers with competitive salaries and benefits. We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country.

Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach — physical, emotional, and spiritual — is essential to healing the whole person. Come join our team!

Job Summary:

The Insurance Follow-Up Rep is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and denials for the Franciscan Medical Group (FMG) in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals.

Essential Duties:

  • Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers.

  • Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation.

  • Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.

  • Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function.

  • Establishes and maintains professional and effective relationships with peers and other stakeholders.

Additional Responsibilities:

  • Adheres to and exhibits our Core Values of Reverence, Integrity, Compassion and Excellence.

Qualifications

Education/Experience:

  • Two years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities. Graduation from a post-high school program in medical billing or other business-related field is preferred.

License/Certification:

  • None

Job Administrative and Clerical

Primary Location WASHINGTON-TACOMA-FRANCISCAN ADMIN CNTR BROADWAY

Daily Schedule 8am to 4:30pm

Scheduled Hours per 2-week Pay Period 80

Weekends Required None

Req ID: 2017-R0126992