Medical Insurance Biller
The posted compensation range of $23.00 - $30.99 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.
Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health, you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more!
Responsibilities
This position is responsible for ensuring clean claims are sent to insurance carriers timely and responses from insurance carriers for services provided are resolved in a timely manner to optimize VMMC revenue generation and cash flow. This position will also complete the processing of inappropriately paid accounts by contacting payers, processing payer correspondence, rebilling, working denials and conducting appeals to obtain the highest possible reimbursement, meet DRO goals, and ensure patient satisfaction. This position will proficiently perform duties in both professional and facility billing platforms.
- Communicates with insurance carriers, patients, both internal and external customers via phone, and written correspondence.
- Working mistake proofing successive checks to ensure clean claims are being sent to insurance carriers.
- Corrects CPT and ICD-10 codes based on recommendation from certified coders, updates registration, conducts batch research, submits dictionary updates (HCPCS).
- Follow-up and reconciliation of accounts both credit and debit.
- Audits records and claims submissions and performs appeals when necessary.
- Obtain retro-authorizations for claims reconsideration
- Root cause analysis, and trend reporting to supervisor to assure mistake proofing measures can be implemented.
Qualifications
- This position requires the ability to maintain current knowledge of assigned payer billing requirements; excellent analytical, problem solving, and communication skills.
- Demonstrated knowledge of medical terminology, billing/collection practices and workflows; basic familiarity with Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-10), Tenth Edition codes is preferred.
We are an equal opportunity/affirmative action employer.
Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.
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Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit https://www.commonspirit.careers/benefits.
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Equal Opportunity
CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].
CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.