Accounting Representative Hybrid - Other Fiscal Services

Description

Research patient and insurance credit balances from online work lists and request appropriate refunds. Process refund requests received from Insurance Companies and Responsible Parties in a timely manner. Authorize and process credit balances requested by staff within the department subject to authorization maximum. Act as resource for billing office staff concerning credit balances.

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.

Essential Functions:

• Ensure patient satisfaction through timely and effective processing of refund requests.
• Respond to communication from third-party payors with requests for refunds.
• Review, audit, and process accounts in credit balance modules identifying accounts for which a refund is due.
• Effectively authorize and process refund requests submitted by staff within the department.
• Submit notification to payors regarding claims payment issues as needed.
• Trace errors, record adjustments to proper accounts, and determine the appropriate destination for refunds due.
• Re-submit claims to government agencies, medical service bureaus, and insurance companies ensuring that accounts are billed appropriately by auditing charges to ensure accurate procedure codes, billing data, and patient information submitted.
• Ensure accurate account information in all billing areas. Obtain correct information and update system when billing information is incorrect or missing.
• Resolve account discrepancies by auditing account detail.
• Process void and stale dated patient and insurance refunds.
• Review, audit and process unclaimed property reports, identifying credit balances which need to be reported to the state as unclaimed property.
• Demonstrate competency with all position related software programs.
• The job duties listed are essential functions of the position. However, other duties may be assigned, and may also be considered essential functions of the position.
• The caregiver must be sufficiently fluent in the English language to satisfactorily perform the essential functions of the position.
• Caregivers are expected to honor the Mission, Values, Vision and Promise and adhere to the Code of Conduct, policies, and standards of their organization.

Required Qualifications:

• 2 years - Healthcare, revenue cycle, banking, or finance.

Preferred Qualifications:

• 1 year - Experience using EPIC platform.
• 1 year - Successful customer service experience with patients and insurers.

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.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

About the Team

Providence Clinical Network (PCN) 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.

PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington's greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence's St. John's Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 330264

Company: Pacific Medical Jobs

Job Category: Accounting

Job Function: Finance

Job Schedule: Full time

Job Shift: Day

Career Track: Admin Support

Department: 3060 OTHER FISCAL SERVICES WA

Address: WA Seattle 1200 12th Ave S

Work Location: PACMED Admin Bh-Seattle

Workplace Type: Hybrid

Pay Range: $21.01 - $32.57

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.