Providence Health & Services Accounts Receivable Billing Resolution Specialist *1.0/Day* in Seward, Alaska
Providence is calling an Accounts Receivable Billing Resolution Specialist (Business Services, Day Shift, 1.0 FTE - 40 hours per week) to Providence Seward Medical Center in Seward, Alaska. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all - especially those who are poor and vulnerable.
Apply Today! Applicants that meet qualifications will receive a text with some additional questions from our Modern system.
In this position you will:
CUSTOMER SERVICE: Demonstrates professional skills in working with departmental staff, hospital departments, physicians, physician’s office staff, government agency and insurance company representatives, patients, consultants and co-workers. Maintains confidentiality of all patient information.
REGISTRATION AND CHARGING: Ensures all billing documentation required by payers, including but not limited to CPT-4, HCPCS and ICD-9 coding, prior authorization, provider identifications, primary and secondary insurance, patient demographics, insured identification, charges and dates of service are complete and correct. Posts and verifies charges.
BILLING AND RESOLUTION: Performs follow-up with patients and third party payers to ensure timely and accurate resolution of accounts within departmental guidelines and government program regulations. Works to facilitate resolution of billing and coding inconsistencies. Performs necessary research to facilitate coding requirements in general and payer specific, orders and receives medical records when required as claim attachments, ensures that charges are posted to correct claim sequence, ensures that provider identification numbers are applied when necessary.
DAILY OPERATION: Demonstrates working knowledge of registration, billing, retrieval, electronic data interchange and online systems, i.e., Registration and Billing Software, Tri-Care/Champus, Medicaid, Medicare, Veterans Administration and Imaging Systems. Possess working knowledge of CPT-4, HCPCS and ICD-9 coding requirements. Responsible for billing, account follow-up, account maintenance, review and analysis of RA’s and customer service. Possesses the ability to detect system integrity problems, reports and assist in resolution. Keeps current in rules and regulations as they change.
COMMUNICATION AND TEAMWORK: Demonstrates professional telephone skills. Demonstrates professional inter-personal skills in communicating with patients and others regardless of age, nationality, or financial situation. Collaborates with team members to achieve a wide range of department specific duties and activities to maintain maximum productivity and success. Serves as resource to all team members.
EQUIPMENT: Operates equipment in a safe manner according to department procedures. Operates multiple kinds of equipment. Identifies equipment in need of repairs and informs secretary. Utilizes equipment in the prescribed manner.
CRITICAL THINKING SKILLS: Utilizes available resources, ie, seeks answer prior to asking for help. example: PPA contracts, government regulatory requirements and guidelines. Recognizes errors/problems and corrects. Analyzes situation and makes a decision within department guidelines.
ACCURACY AND PRODUCTIVITY: Is self-directed and displays initiative to maintain personal productivity and flexibility. Completes work accurately and according to procedure. Responsible for auditing accounts for charges, payments, adjustments, insurance information, patient information and corrects as needed. Performs work according to department productivity standards.
COMPLIANCE: Responsible to obtain the necessary knowledge and experience to perform job tasks in compliance with federal, state and local laws, regulations and guidelines. Participates in educational programs and in-services.
Completes initial and annual Competency Plan for assigned job and department.
Required qualifications for this position:
Knowledge of medical terminology
Preferred qualifications for this position include:
- 2 years medical accounts receivable experience, including coding and billing
About Providence Seward Medical Center
Providence Seward Medical and Care Center is a 6-bed critical access hospital and 40-bed long term care facility providing quality health care to residents and visitors. Our team of physicians, nurses, and support staff deliver compassionate, quality care to all patients. We care for the patients ranging from infants to the elderly with services including, primary care, emergency, inpatient, swing bed, lab, radiology, therapies and nursing home care.
Located only 125 miles south of Anchorage on Resurrection Bay, Seward offers a small community feel and access to a multitude of world class outdoor activities such as kayaking, fishing and hiking.
We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Billing/Insurance
Req ID: 318577