Patient Account Representative (Insurance Follow-Up) - The Vancouver Clinic
Vancouver, WA
About the Job
Come Join Our Team and Grow Your Career! Vancouver Clinic is seeking a full-time Patient Account Representative to join our Insurance Follow-Up team within the Patient Financial Services department.
Location: Park Plaza admin office: 203 SE Park Plaza Dr Suite 180, Vancouver, WA 98684
Schedule: Onsite, Monday through Friday, 8:00am to 5:00pm.
Compensation: Range starts at $20/hr, more depending on hiring qualifications and professional experience. Base Medical, Dental, and Rx Insurance premium is 100% paid for by Vancouver Clinic for full-time employees.
To be successful in this role you must be a proactive problem solver, foster teamwork and trust, be able to prioritize, remain organized, and maintain a positive attitude in a fast-paced work environment!
This person is responsible for managing outstanding insurance claims that have no response from payors, or have edits, or have received claim form related denials. This person will maintain A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims. Additionally, this person will provide information over the phone for billing related questions directed to the Patient Financial Services office.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
Process insurance claims correspondence. Read and interpret EOB’s (Explanation of Benefits).
Process appropriate refund in accordance with department policies and procedures.
Responsible for the accurate and timely submission of claims, denials, and re-bills of insurance claims.
Responsible for the analysis and necessary corrections of patient accounts as it pertains to clean claim submissions or re-bills.
Responsible for telephone and/or written correspondence with insurance companies for claims follow up.
Responsible for correctly identifying and updating various types of insurance entry information.
Maintain basic understanding and knowledge of health insurance plans, policies and procedures.
EDUCATION AND SKILLS
High school diploma or equivalent.
Minimum of one year experience in health care accounting within a medical office strongly preferred, or equivalent combination of education and experience.
Knowledge of private billing and collections regulations experience preferred.
Must be a proactive problem solver, foster teamwork and trust, and be highly skilled in prioritizing, organizing, planning, communication and staying on track.
Demonstrated customer service expertise.
Knowledge of government, commercial, and third party insurance contract practices and claims processing procedures preferred.
Keyboarding minimum 40 wpm.
Accurate 10 key by touch and familiarity with Microsoft Word and Excel.
Excellent organizational skills required.
Must be able to work in a highly demanding atmosphere, with a variety of personalities within a fast paced environment.
Excellent verbal and written communication skills, and extensive hands-on computer background.
Pay Range:
$19.22 - $26.91The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job.
We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). We also offer a 401k retirement plan, with employer contributions after your first year of employment. Benefits-eligible employees accrue PTO and Personal Time based on hours worked and State worked, totaling 120 hours in the first year for full time staff and 200 hours in the first year for full time supervisors and above, increasing in subsequent years. PTO and Personal Time accruals are pro-rated by FTE/hours worked. Non-benefits eligible employees will accrue Personal Time based on hours worked and State worked. Employees will also enjoy up to six paid holidays per year, depending on schedule. Contact your recruiter for more information.
Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Vancouver Clinic is an alcohol and drug-free workplace. Offers are contingent on successful completion of background screen and immunization requirements.