Responsible for preparation, editing, and submission of accurate and timely insurance claims (electronic and manual) to regulatory payers, including Medicare, Medicaid, L&I, VA, Crime Victims, and Healthy Options. Reviews and resolves billing edits in EPIC and the claims scrubber system, verifies claim accuracy, reconciles claim runs, creates electronic claim files, resolves errors, and works with third-party clearinghouses or scrubber vendors to produce clean claims. Identifies recurring billing errors and trends, documents billing issues, conducts research and analysis of coding errors, and assists with problem solving and process improvements. Processes credit balances due to regulatory payers.
Required
- Coursework/training in medical terminology and medical coding from an accredited school, or equivalent on-the-job training in a billing role
- 1 year of experience in hospital insurance regulatory billing, including Medicare, Medicaid, and/or Labor & Industries (L&I)
Preferred
- Bachelor's degree in Finance, Business Management, or Healthcare Administration
- Strong technical background with experience using automated systems
- Experience working with Provider One, MECA, FSS0, and/or CWF
Benefits
- Comprehensive health care benefits (medical, dental, vision)
- 401(k) savings plan with employer matching
- Life insurance
- Disability insurance
- Paid time off benefits, including parental leave, vacations, and holidays
- Health issue leave
- Voluntary benefits
- Well-being resources
- Additional compensation may be available, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonuses
Location
Seattle, Washington, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 month ago