Insurance Specialist Central Business Services

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Negotiable

Permanent

Description

Insurance Specialist - Central Business Services Washington-Seattle Swedish Medical Group is looking for an Insurance Specialist (1.0 FTE, Day Shift) to work in Central Business Services at Swedish Medical Group in Seattle ,WA. Responsible for obtaining up to date insurance information and communicating accurate information, including agency requirements, to the appropriate individuals. Act as expert for internal customers in insurers doing business in our region, such as government plans (DSHS, Medicare, Tricare) and fully insured, self-insured, PPOs, etc In this position you will: * Monitor changes in the health insurance industry that affect payment of claims; communicate changes to appropriate staff * Maintain and update list of insurance carriers and employers * Act as a resource for staff members, regarding health insurance claims policies and procedures for all types of insurance plans * Manage Epic Generic Work Queue to filter incoming registration information; make changes to insurance roster as necessary * Develop training program, to include information, format, and procedure design * Train and orient staff, including new employees, of insurance regulations, policies and procedures * Assist registering patients with the appropriate insurance per information on patient identification cards; travel to clinics as necessary * Notify database administrator of any insurance company changes, additions or deletions * Work closely with Manager to continually update and improve internal functions * Monitor insurance registration issues; assist with corrections to ensure timely filing * Demonstrate competency with all position-related software programs (Epic, Word, Outlook, etc.) Required qualifications for this position include: * High school diploma or GED required * Five (5) years progressively more responsible work experience in a health care office * WA State Drivers License. About Swedish Medical Group Swedish Medical Group (SMG) is a successful, performance-driven division of Swedish Health Services, the largest non-profit health provider in the Greater Seattle area. The SMG network includes more than 900 providers across 108 primary care and specialty care clinics. Claims Full-time
  • 1
  • Negotiable
  • None
  • None
  • Re-139519
  • Permanent
  • 5

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