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Senior Patient Accounts Representative
Providence. Prepare, edit, and submit accurate and timely electronic and manual insurance claims to regulatory payers .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in processing and submitting insurance claims, including knowledge of medical terminology and coding. Proficient in resolving billing issues and analyzing coding errors while ensuring compliance with regulatory standards.
Highest-signal resume keywords
Medical TerminologyMedical CodingHospital Insurance Regulatory BillingClaims ProcessingExperience with Provider One
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims SubmissionBilling Edits ResolutionClaims ReconciliationCoding Error AnalysisCredit Balance Processing
Soft Skills
Problem SolvingAttention to DetailCommunication
Tools & Technologies
EPICClaims Scrubber SystemAutomated Systems
Industry Keywords
MedicareMedicaidLabor & IndustriesBilling TrendsAccredited Medical Coding Training
About the role
Key responsibilities & impact- Prepare, edit, and submit accurate and timely electronic and manual insurance claims to regulatory payers
- Process primary, secondary, late charge, and corrected claims
- Review and resolve billing edits in EPIC and the claims scrubber system
- Verify the accuracy of claims submitted to payers
- Reconcile claim runs and create electronic claim files
- Resolve claims editing issues and work with third-party clearinghouse or claims scrubber vendors to produce clean claims
- Identify recurring billing errors and trends and report them to the supervisor when necessary
- Research and analyze coding errors
- Document billing issues and trends and assist with problem solving and solutions
- Process credit balances due to regulatory payers
Requirements
What you’ll need- Medical terminology and medical coding training in 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)
- Experience with automated systems preferred
- Experience working with Provider One, MECA, FSS0 and/or CWF preferred
- Bachelor's Degree in Finance, Business Management or health care administration preferred
Benefits
Comp & perks- Retirement 401(k) Savings Plan with employer matching
- Medical, dental, and vision health care benefits
- Life insurance
- Disability insurance
- Paid parental leave
- Vacation and holiday time off
- Time off for health issues
- Voluntary benefits
- Well-being resources
- Additional compensation may be available, including shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities