Accounts Receivable Representative *Telecommute*
Company: Providence
Location: Renton
Posted on: June 25, 2022
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Job Description:
**Description:**
**Providence St. Joseph Health is calling an Accounts Receivable
Representative to work remote within WA state.**
We are seeking an Accounts Receivable Representative who will
contribute to the achievement of service delivery, performance
standards, and financial targets by:
- Collecting A/R from commercial insurance companies.
- Treating payors and patients with respect as well as protecting
their privacy.
- Taking initiative to secure payment or resolve account
balances.
These functions carry out the Mission, Vision, and Core Values of
Providence Health and Services by ensuring that all healthcare
services provided at the facility are billed and paid both
accurately and timely. These functions are performed in accordance
with applicable laws and regulations, and Providence Health and
Services policies and procedures.
**In this position you will have the following
responsibilities:**
+ Contact insurance companies to resolve outstanding accounts.
+ Identify and resolve issues associated with a claim denial or
payment delay.
+ Move accounts to appropriate support desks relative to billing,
medical records and utilization review issues as needed.
+ Work accounts in order of priority as required on CUBS WIP which
entails completing each working day: work on today's work, prior
day's work, priority work and required work in this order of
importance.
+ Identify ongoing payor issues and clearly articulate them to
insurers.
+ Write and submit accurate appeals, including all necessary
supporting documentation.
+ Work with providers to obtain referrals for necessary
accounts.
+ Coordinate write-offs with appropriate leadership team
members.
+ Utilize eligibility systems to determine correct eligibility when
needed.
+ Contact various payors as needed to verify or obtain
information.
+ Communicate professionally and effectively with internal and
external contacts.
+ Maintain accurate, clear, concise and complete account
information in CUBS.
+ Assist with training of new employees and promoted teamwork
amongst department.
+ Comply with all applicable Federal State, and local laws,
regulations, and requirements as well as Providence Health and
Services policies and procedures of job performance
+ Maintain confidentiality of all patient demographics, medical and
financial information at all times. Maintain confidentiality of all
company and client information. Ensure proper handling and disposal
of confidential documents and adheres to all HIPPAA rules and
regulations.
**Qualifications:**
**Required qualifications for this position include:**
+ 1 year Medical billing experience and/or medical claims
adjudication.
+ A track record in functioning effectively in a high volume
environment.
**Preferred qualifications for this position include:**
+ Knowledge of medical billing and payor technology and
applications.
+ CPAT.
**About the department you will serve.**
One Revenue Cycle (ORC) is the name adopted to reflect the
Providence employees who work throughout Providence in revenue
cycle systems and structures in support of our family of
organizations across Alaska, California, Montana, New Mexico,
Oregon, Texas and Washington. ORC's objective is to ensure our core
strategy, One Ministry Committed to Excellence, is delivered along
with the enhanced overall patient care experience (know me, care
for me, ease my way) by providing a robust foundation of services,
operational and technical support, and the sharing of
comprehensive, relevant, and highly specialized revenue cycle
expertise.
**We offer comprehensive, best-in-class benefits to our caregivers.
For more information, visit**
https://www.providenceiscalling.jobs/rewards-benefits/
**Our Mission**
As expressions of God's healing love, witnessed through the
ministry of Jesus, we are steadfast in serving all, especially
those who are poor and vulnerable.
**About Us**
Providence is a comprehensive not-for-profit network of hospitals,
care centers, health plans, physicians, clinics, home health care
and services continuing a more than 100-year tradition of serving
the poor and vulnerable. Providence is proud to be an Equal
Opportunity Employer. Providence does not discriminate on the basis
of race, color, gender, disability, veteran, military status,
religion, age, creed, national origin, sexual identity or
expression, sexual orientation, marital status, genetic
information, or any other basis prohibited by local, state, or
federal law.
**Schedule:** Full-time
**Shift:** Day
**Job Category:** Billing/Insurance
**Location:** Washington-Renton
**Req ID:** 365260
Keywords: Providence, Renton , Accounts Receivable Representative *Telecommute*, Other , Renton, Washington
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