Medical Insurance Biller

Job Summary and Responsibilities

As our Medical Insurance Biller, you will complete the processing of inappropriately paid accounts by contacting payers, processing payer correspondence, rebilling, working denials, and conducting appeals. This ensures the highest possible reimbursement, meets DRO goals, and maintains patient satisfaction, and you will proficiently perform duties in both professional and facility billing platforms.

Every day you will communicate with insurance carriers, patients, and both internal and external customers via phone and written correspondence. You will work with mistake-proofing successive checks to ensure clean claims are being sent to insurance carriers, and correct CPT and ICD-10 codes based on certified coder recommendations, updating registration and submitting dictionary updates (HCPCS).

To be successful in this role, you will perform follow-up and reconciliation of both credit and debit accounts, diligently auditing records and claims submissions. You will also perform appeals when necessary, obtain retro-authorizations for claims reconsideration, and contribute to root cause analysis and trend reporting to your supervisor, assuring mistake-proofing measures can be implemented.

Job Requirements

Required

• Ability to maintain current knowledge of assigned payer billing requirements; excellent analytical, problem solving, and communication skills
• Demonstrated knowledge of medical terminology, billing/collection practices and workflows.
• Basic familiarity with Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-10), Tenth Edition codes is preferred

Preferred

• Associate's degree or relevant certification in medical billing or coding

Where You'll Work

Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.