Revenue Cycle Representative III - AR/Billing Follow Up

You Belong Here.
At MultiCare, we strive to offer a true sense of belonging for all our employees.
Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules.
We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.
FTE: 1, Shift: Day Schedule: Monday-Friday 8:00am-5:00pm Bilingual skills (English/Spanish) preferred Position Summary Provides patient revenue management support throughout the revenue cycle, to include but not limited to: billing and collections, cash management, and charge capture.
ESSENTIAL RESPONSIBILITIES Billing and A/R Follow Up Rep III Performs timely review of aged accounts and denials.
Analyzes and performs efficient account activity research.
Identifies solutions and initiates appropriate course of action (i.
e.
rebilling, refunding).
Use critical thinking skills to bill services compliantly and question areas of uncertainty.
Manages correspondence/refunds/denials relating to assigned accounts in a timely manner Maintains current knowledge of billing, reimbursement and compliance requirements, sharing information as necessary.
Works with contracted vendors regarding assigned accounts as necessary.
Processes all phases of billing.
Reviews demographic information, hospital charges, and corrects claims to meet specific payer requirements and meeting daily transmission deadlines.
Provides positive and efficient customer service to all parties, follows-up on requests promptly.
Monitor and identify payer billing requirements as needed to reduce/prevent denials.
Monitor trends, identify areas of opportunity to increase revenue and system efficiencies.
Performs other related work and support activities as needed.
Continually seeks innovative ways to improve process, procedures and workflows, and actively learns new processes.
Achieves set key performance indicator targets.
Health Information Management Rep III Processes existing medical records, merging when appropriate, in electronic medical records system.
Work collaboratively across the Revenue Cycle department and work on special projects as assigned.
Continually seeks innovative ways to improve process, procedures and workflows, and actively learns new processes.
Achieves set key performance indicator targets.
Revenue System Rep III Identifies areas where system rules could enhance productivity or record integrity.
Understands and supports all aspects of the hospital revenue cycle.
Performs analysis of issues related to medical record integrity.
Completes duplicate medical record number merges across the enterprise, cancelling of encounters, moving encounters to correct medical records and other integrity related duties.
Works collaboratively across the Revenue Cycle department and work on special projects as assigned.
Financial Team Rep III Sends notifications to insurers for inpatient or observation services rendered, within required timeframes.
Process Medicare, Medicaid, L&I, and other forms within compliance standards and in a timely fashion.
Continually seeks innovative ways to improve process, procedures and workflows, and actively learns new processes.
Achieves set key performance indicator targets.
Provides financial screening for Medicaid or charity eligibility.
Provides estimations for price transparency.
Determine and collect patient’s responsibility.
Obtains authorizations for admissions and works collaboratively with Revenue Cycle and Clinical staff.
Performs timely review of encounter deficiencies and denials.
Analyzes and performs efficient research.
Identifies solutions and initiates appropriate course of action.
Use critical thinking skills for compliance and claim integrity.
QUALIFICATIONS AND REQUIREMENTS Education: High School diploma or GED equivalent required.
Experience: Experience working in a medical office setting preferred.
Understanding of medical terminology and medical coding preferred.
Our Values As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration and Kindness.
Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other.
Why MultiCare? Belonging: We work to create a true sense of belonging for all our caregivers Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve Market leadership: Washington state's largest community-based, locally governed health system Employee-centric: Named Forbes “America’s Best Employers by State” in 2023 Technology: "Most Wired" health care system 15 years in a row Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn.
Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off.
As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position.
The pay scale is $16.
84 - $23.
58 USD.
However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education.
If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.
Associated benefit information can be viewed here.