Pacific Medical Centers Patient Accounts Specialist in Seattle, Washington
Find what you’re looking for in your career, at PacMed as a Patient Account Specialist in Seattle, WA.
We are seeking a Patient Account Specialist to established protocols, monitor, research and update patient accounts to reconcile and maximize reimbursement.
In this position you will:
Researches and resolves rejected, incorrectly paid and denied claims in assigned work-files within an established time frame. Verify claims and cash files are being sent and received and ensure accurate payment posting is applied to patient accounts from both patients and insurance carriers.
Researches and resolves unpaid claims on work files as assigned by supervisor.
Responds professionally to all inquiries from patients, Pacific Medical Centers’ staff or payers regarding billing and/or payment questions in a timely fashion. Coordinates information on behalf of patients, providers and business office personnel to respond to inquiries regarding claim billing or insurance Explanation of Benefits and third party liability claims.
Contacts payers to identify reason for payment discrepancies. This may include verifying insurance coverage and benefits, obtaining required authorizations and referrals for hospital admissions and surgery procedures or following up with clinics that are responsible to obtain the missing information.
Verifies that all charges within a patient’s account have been billed to the patient’s correct insurance plan. Contacts payer by telephone or written letter to pursue insurance payment.
Required qualifications for this position include:
High school diploma or equivalent.
Minimum two years’ experience in either physician/hospital billing or other healthcare business setting.
Understanding of clinic operations related to patient registration, referrals, & cash collections.
Understanding of insurance payer reimbursement.
Functional experience using Microsoft Office products (Word, Excel).
Preferred qualifications for this position include:
ICD-10 coding knowledge.
We offer a full comprehensive range of benefits — see our website for details —
Our mission is to provide respectful, high-quality, patient-focused healthcare to each person and to the communities we serve.
Quality and respect. These are the words Pacific Medical Centers (PacMed) employees live and work by. PacMed is a private, not-for-profit, primary and integrated multispecialty health care network with 10 outpatient clinics across the Puget Sound region and more than 175 primary and specialty care providers. Affiliated with the Providence Health & Services system, PacMed provides patient-focused health care — and even same-day appointments — to patients in King, Snohomish and Pierce counties. We provide immediate access to cutting-edge technology, first-class facilities and board-certified specialists, many of whom have been listed as among “Seattle’s Best Doctors.”
Pacific Medical Centers, PacMed, and their Affiliates' (collectively “PacMed”) comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. PacMed does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Job Category: Quality/Risk/Safety (Non-Clinical)
Req ID: 250495