• Valley Medical Center
  • $70,030.00 -99,340.00/year*
  • Renton, WA
  • Financial Services - Insurance
  • Full-Time
  • 16213 SE 178th Pl

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TITLE: Patient Account Rep I ? Insurance Verification JOB OVERVIEW: Responsible for verifying insurance coverage for all patients. Contacts patients for updated insurance information, where applicable, and forwards non-covered patients to the Financial Counselor. ROLE: See job description for administrative partner for generic job description. AREA OF ASSIGNMENT: Clinic Physician Billing RESPONSIBLE TO: Manager, Physician Coding Services and Revenue Management PREREQUISITES: High School graduate preferred. 1 year experience working in a multispecialty group practice, healthcare system with an ambulatory focus, academic medical center, or payor preferred. 1 year patient third party eligibility verification experience on an automated patient accounts system preferred. Understanding of clinic operations related to patient registration, referrals, & cash collections. Comprehensive working knowledge of third party insurance processes required. Basic computer skills including Windows programs and database program applications preferred. Good keyboard skills with high accuracy rate. Ability to communicate effectively in written and spoken English. QUALIFICATIONS: Demonstrates overall knowledge of claims processing for various insurances both private and governed. Demonstrates the ability to make decisions, assess, and resolve problems effectively. Demonstrates effective communication and interpersonal skills with a diverse population. Demonstrates the ability to carry out assignments independently, work from procedures, and exercise good judgment. Demonstrates the ability to maintain the confidentiality of all records. Neat and well groomed appearance. UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT, AND WORKING CONDITIONS: Must be able to sit and work at a computer for extended periods of time. Requires manual and finger dexterity and vision corrected to normal range. Must be able to lift up to 40 lbs. Requires effective communication with other staff and working under changing conditions depending on workload. Requires typing, legible penmanship and accurate data entry. Requires regular and punctual attendance. PERFORMANCE RESPONSIBILITIES: * Generic Job Functions: See Generic Job Description for administrative Partner * Essential Responsibilities and Competencies: Processes daily electronic insurance eligibility verification. Reviews information provided by the eligibility verification system to determine current eligibility and/or if the plan is correct and makes changes as required. Contacts patient for updated insurance, where applicable. Updates patient insurance registration with appropriate information in practice management system. Forwards non-covered patients to the Financial Counselor. Maintains standards set by management. Apprises management of concerns as appropriate. Informs management as appropriate, regarding backlogs and time available for additional tasks. As necessary, negotiates a work improvement plan with management to raise work quality and quantity to standards. Attends appropriate workshops to enhance clerical, billing and computer skills. Completes additional projects and duties as assigned. Job Qualifications: PREREQUISITES: High School graduate preferred. 1 year experience working in a multispecialty group practice, healthcare system with an ambulatory focus, academic medical center, or payor preferred. 1 year patient third party eligibility verification experience on an automated patient accounts system preferred. Understanding of clinic operations related to patient registration, referrals, & cash collections. Comprehensive working knowledge of third party insurance processes required. Basic computer skills including Windows programs and database program applications preferred. Good keyboard skills with high accuracy rate. Ability to communicate effectively in written and spoken English. QUALIFICATIONS: Demonstrates overall knowledge of claims processing for various insurances both private and governed. Demonstrates the ability to make decisions, assess, and resolve problems effectively. Demonstrates effective communication and interpersonal skills with a diverse population. Demonstrates the ability to carry out assignments independently, work from procedures, and exercise good judgment. Demonstrates the ability to maintain the confidentiality of all records. Neat and well groomed appearance.SDL2017 Associated topics: account, accounts receivable, biller, billing, clerk, clinical documentation specialist, coding, collector, medical coder, medical coding
Associated topics: account, billing, cbo, clinical documentation specialist, coder, coding, medical billing, medical coder, medical coding, medical transcriptionist

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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