Catholic Health Initiatives Insurance Follow-Up Rep in TACOMA, Washington
Insurance Follow-Up Rep
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!
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.
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.
- Adheres to and exhibits our Core Values of Reverence, Integrity, Compassion and Excellence.
- 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.
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