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Patient Account Rep - Insurance Claim Edits

Company: The Vancouver Clinic
Location: Vancouver
Posted on: January 7, 2022

Job Description:

Responsible for working insurance claims having issues that do not allow the claim to be accepted by the payor. Maintains A/R at acceptable aging levels by prompt review and resolution of the edit. Perform all duties in a manner that promotes team concept and reflects the clinic's mission and philosophy.


Thoroughly and timely work claim edit records in work queues as defined by policies and procedures.
Present unresolved concerns to Supervisor for resolution immediately with related documentation.
Document account activity accurately and promptly during or immediately following each processed encounter.
Responsible for the accurate and timely submission of claims
Responsible for the analysis and necessary corrections of patient accounts as it pertains to clean claim submissions or re-bills.
Responsible for maintaining work queues .
Responsible for telephone and/or written correspondence with insurance companies for claim edits.
Responsible for correctly identifying and updating various types of insurance entry information.
Maintain basic understanding and knowledge of health insurance plans, policies and procedures.
Make suggestions on improving Clinic procedures to improve billing accuracy and collections.
Must be accepting of diversity and willing to participate in a team environment; as well as, willingness to follow clinic policies and procedures as established.
Must attend all required staff meetings, in-service meetings and participate in task force activities.

High school diploma or equivalent.
Minimum of one year experience in health care accounting within a medical office required.
Knowledge of private billing and collections regulations experience preferred.
Must be a proactive problem solver, foster teamwork and trust, be highly skilled in prioritizing, organizing, planning, communication and staying on track.
Demonstrated customer service expertise.
Knowledge of government, commercial, and third party insurance contract practices and claims processing procedures preferred.
Keyboarding minimum 40 wpm.
Accurate 10 key by touch and familiarity with Microsoft Word and Excel.
Excellent organizational skills required.
Must be able to work in a highly demanding atmosphere, with a variety of personalities within a fast paced environment.
Excellent verbal and written communication skills, and extensive hands-on computer background.
Must have reliable and predictable attendance.

The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job.

We offer a competitive Total Rewards Program which includes insurance programs covering medical, dental, vision, life, long-term disability, generous time off, holidays, education reimbursement, and a 401(k) plan. Eligibility for benefits is dependent on factors such as position type and FTE. Contact your recruiter for more information.

Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Documented vaccination, immunity, or written declination of vaccine for certain preventable contagious diseases, including COVID-19, is a requirement of employment at Vancouver Clinic. Vancouver Clinic is an alcohol and drug-free workplace. Offers are contingent on successful completion of drug screen, background screen, and immunization requirements.

Keywords: The Vancouver Clinic, Vancouver , Patient Account Rep - Insurance Claim Edits, Other , Vancouver, Washington

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