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Providence Health & Services Insurance Accounts Receivable Specialist *Telecommute* in Texas

Description:

Providence St. Joseph Health is calling an Insurance Accounts Receivable Specialist to work remotely within our footprint states: AK, CA, MT, OR, TX and/or WA.

We are seeking an Insurance Accounts Receivable Specialist 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 & 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 & Services policies and procedures.

In this position you will:

  • 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 & 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.

Knowledge, Skills, and Abilities:

  • Demonstrated ability to type 40 wpm with 98% accuracy.

  • Proven ability to work collaboratively in a team environment in a positive and professional manner.

  • A track record in functioning effectively in a high volume environment.

  • Proven strong attention to detail with a focus on quality.

  • Proven PC Proficiency in MS Windows and Office applications. Knowledge of medical billing and payor technology and applications is preferred.

  • Demonstrated good knowledge of SSI and CUBS & DataNet.

  • Proven ability to analyze, research, and recommend solutions.

  • Demonstrated knowledge of payor processes, rules and requirements as well as familiarity with healthcare collection processes.

  • Proven knowledge of ICD-9/CPT coding, medical terminology and understanding of data elements of UB92 & 1500.

  • Demonstrated ability to perform in alignment with company mission and values.

  • Demonstrated ability to train and communicate change on technical aspects of the position.

  • Proven effective telephone skills with the ability to listen, speak clearly and communicate respectfully to customers.

Qualifications:

Required qualifications for this position include:

  • High School Diploma or GED equivalent .

  • One year medical billing experience and /or medical claims adjudication.

Preferred qualifications for this position include:

  • 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: Oregon-Portland

Other Location(s): Montana, California, Washington, Oregon, Texas, Alaska

Req ID: 312685

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