As a part of our organization, we currently offer the following benefits:

• Competitive starting wages (DOE) and training to grow within the company
• Paid Time Off (PTO)
• Health/Dental/Vision Insurance
• Flexible health spending accounts (FSA)
• Matching 401(k) and 457(b) Retirement Programs
• Tuition Assistance for career growth and development
• Care@Work premium account for additional support with children, pets, dependent adults, and household needs
• Employee Assistance Program (EAP) for you and your family
• Voluntary Protection: Group Accident, Critical Illness, and Identify Theft
• Adoption Assistance
• Wellness Program

Franciscan Medical Group is currently seeking a full time Insurance Follow Up Rep for the Regional Billing Office in Tacoma, WA.

Job Summary:

This job is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and denials for the Franciscan Medical Group (FMG) in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals.
Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies and bring timely resolution to issues that have a potential impact on revenues.

In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution.

Essential Duties:

• Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers.
• Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation.
• Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.
• Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function.
• Establishes and maintains professional and effective relationships with peers and other stakeholder

Education/Experience:

• Two years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities.
• Graduation from a post-high school program in medical billing or other business-related field is preferred.