Job Information
Providence St. Joseph Health Patient Accounts Representative - PacMed Seattle - Other Fiscal Services in Seattle, Washington
Description Patient Account Representative Overview of Responsibilities: Using established protocols, monitor, research and update patient accounts to reconcile and maximize reimbursement. Answers patient, insurance calls and correspondence resolving questions in a time frame that meets or exceeds department standards. Acts as liaison between Patient Accounts and physician offices, insurance carriers and other third-party payers to assist with questions and resolve unpaid accounts. Follow guidelines to adjust accounts based upon the patient/account status (deceased patient, small balance, charity, etc.). Monitors daily electronic claims transmission, researches and resolves electronic claim rejections, understands and performs charge corrections, understand the rejection code subsystem and ensures accurate postings of cash and rejections codes, reviews insurance reimbursement to verify compliance with fee schedules, appeal underpayments using correct venue per third party carriers, and review insurance payments for correct reimbursement. Performs all billing, follow up and cash postings duties as needed and perform other duties as assigned related to the Patient Accounts Department. Providence caregivers are not simply valued - they're invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers 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: 1 year Functional experience using Microsoft Office products (Word, Excel). Preferred Qualifications: Associate's Degree In a business-related field. Upon hire: CRCR Certification 1 year Experience in either physician/hospital billing or other healthcare business setting. 3 months Successful customer service experience with patients and insurers. 1 year Collection experience. 1 year Experience using EPIC, payspan and insurance portals Why Join Providence? 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 to advocate, educate and provide extraordinary care. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Check out our benefits page for more information about our Benefits and Rewards. About the Team Providence Physician Enterprise (PE) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers. PE is comprised of Providence Medical Group in Alaska, Washington