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Billing and Collections Representative

Job Description - Billing and Collections Representative

Description

Responsible for collecting active A/R from insurance payers including but not limited to commercial, Blue Cross, Blue Shield, Aetna, Uniform Medical, United Healthcare, HMOs, PPOs, and other payers.  Contact insurance payers by either phone or online inquiry regarding unpaid hospital claims.  Review remaining balances on account after insurances have paid to determine appropriate next action.  Review denials by insurances for entire claims and for line items to determine if additional follow up is needed or assistance from other departments and forwarded to them as needed, including Care Coordination, Revenue Coordination, Registration, etc.


Providence Swedish caregivers are not simply valued – they’re invaluable. Join our team at Swedish Shared Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.


Required Qualifications:



  • Medical terminology and medical coding training in an accredited school --or-- equivalent education/experience

    • Equivalent on-the-job training in a follow-up role required


  • 2 years of experience in insurance billing/insurance follow-up or insurance claims processing and/or customer service, including private insurance


Preferred Qualifications:



  • Bachelor's Degree in Finance, Business Management or health care administration

  • A strong technical background including experience with automated systems


Why Join Providence Swedish? 


Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security.  We take care of you, so you can focus on delivering our mission of improving the health and wellbeing of each patient we serve.


 



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