Overview

Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health, you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more!

Responsibilities

The responsibilities of this position are to facilitate, educate and communicate to patients Virginia Mason Medical Center's revenue cycle policies and procedures. This includes, but is not limited to, responding to patient inquiries regarding all billing aspects of a hospital based medical facility as well as maximizing reimbursement of self pay receivables via payment schedules, assessment for in-house charity programs or eligibility for state-sponsored insurance plans. This position will proficiently perform duties as outlined below in one of the following areas: Patient Account Specialist or Patient Service Specialist.

Patient Account Specialist:

• In a high call volume setting, provides clarification and education to, as well as research of, patient billing inquiries.
• Addresses broad range of inquiries covering items such as insurance regulation and processing protocols, charge coding discrepancies, benefit interpretation and adjudication.
• Provides financial counseling both in advance and post receipt of services. Provides assistance with reimbursement for under or un-insured individuals (including uncompensated care).
• Collects on private receivables and may participate in collection agency processes (ie: court appearances)
• Acts as resource to Medical Center for organizational, state, federal and commercial reimbursement procedures and policies as they may pertain to individual patient situations.

Patient Service Specialist:

• Provides financial counseling in advance of services, collects prepayments, and provides cost estimates to patients, payers and providers.
• Responds to patient inquiries regarding benefits and charges.
• Provides assistance with reimbursement to under or un-insured patients.
• Provides bedside financial counseling services.
• Acts as a resource to the medical center for organization, state and federal reimbursement procedures, policies and individual patient status situations.

Qualifications

We require:

• Proven excellent customer service, communication, verbal and written skills with an emphasis on organization and attention to detail
• Ability to problem solve and multi-task; keep confidences
• Knowledge of insurance concepts
• Demonstrated basic telephone skills (transfer, conference, placing a patient on hold)
• Excel in a team based environment with a positive attitude
• Comfortable with ambiguity and the ability to be flexible

Preferred:

• Knowledge of financial or Medicaid application assistance
• 6 months previous call center
• health care experience and medical terminology
• High school diploma or GED 

We deliver inspired people to do meaningful work.

We are an equal opportunity/affirmative action employer.

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