Revenue Support Representative - CommonSpirit Health

Virginia Mason Franciscan Health is a 336 bed non-profit facility providing quality health care to patients and communities in and around Seattle Washington. We are part of CommonSpirit Health which operates 139 hospitals and more than 1,000 care sites across 21 states, making our services accessible to nearly 1 in 4 U.S. residents.

Just as Virginia Mason is dedicated to improving the lives of our patients and our community, we are equally dedicated to your professional and personal success. With a wide range of perks that includes a comprehensive compensation and benefits package, and the opportunity to live in one of the most livable cities in the nation, you will find that an opportunity with Team Medicine is one worth taking.  

This position supports front line staff in revenue operations, will proficiently perform duties as outlined in one of the following areas: Medical Claims Support Rep, Support Specialist (PAS), Mail Clerk, Collection Assistant, Secondary Billing, Senior Support Specialist (PAS).

- MEDICAL CLAIMS SUPPORT REP
a. Sort and mail paper claims for the Medical Claims Representatives to the appropriate insurance carriers.
b. Sort all mail and distribute or process as appropriate.

- SUPPORT SPECIALIST (PAS)
a. Document correspondence by keying into computer.
b. Respond to attorney requests for information
c. Print out itemized bills, claim forms and other requested information.
d. Pull documents from batches and copy them.
e. Perform miscellaneous tasks such as filing, putting refund checks in envelopes and screening microfiche.

- MAIL CLERK
a. Open, scan and route daily external/internal mail.
b. Distribute and collect mail between floors.
c. Open and scan lock box cash applications in search of checks.

- COLLECTION ASSISTANT
a. Research and file bankruptcy claims.
b. Open and distribute incoming mail, bundle outgoing mail for mailcenter pickup.
c. Request credit bureau reports and medical records
d. Maintain machines in an operational state.
e. Skip tracing
f. Correct registrations and remailing of statements.
g. Perform filing as necessary.

- SECONDARY BILLING
a. Print claims for system created secondary EOB’s
b. Sort and mail paper claims for the Medical Claims Representatives to the appropriate insurance carriers.
c. Respond to patient requests for secondary insurance billing. Audit invoices, print claims, pull EOB’s and mail to carriers.

- SENIOR SUPPORT SPECIALIST (PAS)
a. Identify and research outstanding accounts that may be subject to probate or bankruptcy claims.
b. Process the legal filing of a claim in probate court or execute a discharged bankruptcy claim.
c. Communicate with the attorney, executor, family member or other appropriate individual regarding probate or bankruptcy.
d. Discharge the probate claim via preparing and sending a legal document to the attorney of record to release or close the claim.
e. Agency assignments.
f. Audit monthly/weekly bad debt transactions.
g. Research and audit individual accounts to resolve patient issues.
h. Prepares reports for management.
i. Communicates with collection agency to assist with resolution of patient disputes.

"We deliver inspired people to do meaningful work."

This position requires:

- Strong organizational skills; excellent written and verbal communication skills

- An understanding of medical terminology,

- CPT and ICD9 coding;

- Understanding of mainframe computer systems;

- The ability to attend to detail.

We are an equal opportunity/affirmative action employer.