Company Overview
Franciscan Health System is a comprehensive health care organization
that includes St. Joseph Medical Center of Tacoma; St. Clare Hospital
in Lakewood; St. Francis Hospital in Federal Way; Enumclaw Regional
Hospital that serves communities in Southeast King and Northeast Pierce
counties; and Franciscan Hospice House in University Place. Construction
of St. Anthony Hospital in Gig Harbor is planned to begin in mid-2007.
The new, 80-bed hospital will open in early 2009 to serve residents
of Gig Harbor, Key Peninsula and South Kitsap County.
Franciscan has approximately 6,000 employees and a
Medical Staff with approximately 1,400 members.
Franciscan Health System is a non-profit, faith-based
organization with a mission to nurture the healing ministry of the
Church, emphasize human dignity and social justice, and create healthier
communities.
Ever since the Sisters of St. Francis founded St.
Joseph Medical Center in 1891, the Franciscan organization has grown
with the enduring goal of fulfilling the spiritual, emotional and
physical needs of those it serves.
Franciscan Health System is affiliated with Denver-based
Catholic Health Initiatives, one of the largest non-profit health
care organizations in the United States.
Job Description
Full Job Title: Patient Account Representative - FMG - Central Administration/SCRBO
- 0800009171
Job Summary:
Submit claims to government agencies, medical service bureaus and
insurance companies. Answer all information requests from those payers,
and trace all claims to those payers making sure they have been paid
or denied appropriately and in a timely manner. Post payments, follow
up on insurance rejections, submit claims to secondary insurers, calculate
the precise patient responsibility portion to be billed, and respond
to patient queries. Essential Duties:
Ensure patient satisfaction through timely and effective patient account
maintenance including assistance with billing, third-party payments,
adjustments, information verification and record maintenance.
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.
Effectively process patient, clinic and insurance
correspondence, including requests for refunds and collections when
warranted.
Interpret and communicate information regarding credit
policies and procedures, billing practices, insurance submission and
out-of-pocket patient responsibility.
Accurately and timely post private payments, insurance
payments, disallows and/or denials to appropriate patient account,
calculate patient responsibility, interpret explanation of benefit
message codes, identify payment discrepancies by contacting insurance
carrier, and determine if rebilling is necessary.
Function as liaison between patients and clinic staff
on claims, billing questions or insurance related issues.
Trace errors, record adjustments to proper accounts
and determine the appropriate destination for unidentified funds.
Accurate batch
balancing and reporting.
Tags: Admin
& Clerical : Banking
Jobs : Financial
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