Patient Account Representative 3, Appeals and Underpayments

Job Description

UW Medicines Patient Financial Services Department has an outstanding opportunity for a Patient Account Representative 3 Appeals and Underpayments.

WORK SCHEDULE

• 100% FTE
• Day Shift

PRIMARY JOB RESPONSIBILITIES

• Make outbound and take inboundcallswith patients their families or representatives insurance companies attorneys corporate clients a structured environment working under a set schedule and tighttimeframes;
• Independently manage special billing programs and projectssuch asspecialty servicesand institutional and corporate accounts;Medicare RAC and Intermediary requests as well as complex billing situations
• Obtain detailed information to assure reimbursement and contract adherence for case rate and specialty billing programs specifically negotiated on behalf of UW Medicine
• Assistpatients or their representatives in understanding their financial obligation and developing solutions to meet their financial responsibilities
• Communicate with MedicalCentersstaff patients and/orthird partypayers asrequiredto obtain or verify billing information payment and answer questions or resolve concerns
• Obtain detailed information from patient and relay information toappropriate medicalcenter billing department or patient relations staff as necessary to improve service to patients
• Research and resolve underpaid accounts
• Determineand post adjustments to patient accountsin accordance withdepartment procedures
• Assistin orienting and trainingnew staff
• Meet deadlines and departmental quality and performance standards
• Review the status of the entire patient account and exercisejudgment to determineappropriate courseof action for resolution
• Maymaintainspreadsheets and write original correspondenceusing Microsoft Excel and Word

REQUIREMENTS

High School graduation or equivalent AND three years of experience in patient accounting customer service or a related office environment.

Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements such as a license certification and/or registration.

DESIRED:

Proven ability to compose appeals resulting in favorable results and overturned denials

Knowledge of UB CMS 1500 ADA and other utilized billing forms and payer requirements.
Knowledge of Epic Hospital Billing and/or Professional Billing and registration systems.

ABOUT UW MEDICINE WHERE YOUR IMPACT GOES FURTHER

UW Medicine is Washingtons only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicines mission is to improve the health of the publicby advancing medical knowledge providing outstanding primary and specialty care to the people of the region and preparing tomorrows physicians scientists and other health professionals.

All across UW Medicine our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful welcoming environment where every patient family student and colleague is valued and honored. Nearly 29000 healthcare professionals researchers and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center UW Medical Center - Montlake UW Medical Center - Northwest Valley Medical Center UW Medicine Primary Care UW Physicians UW School of Medicine and Airlift Northwest.

Become part of our team. Join our mission to make life healthier for everyone in our community.

Compensation Benefits and Position Details

Pay Range Minimum:

Pay Range Maximum:

Other Compensation:

Benefits:

Temporary or Regular

FTE (Full-Time Equivalent):

Union/Bargaining Unit:

About the UW

Working at the University of Washington provides a unique opportunity to change lives on our campuses in our state and around the world.

UW employees bring their boundless energy creative problem-solving skills and dedication to building stronger minds and a healthier return they enjoy outstanding benefits opportunities for professional growth and the chance to work in an environment known for its diversity intellectual excitement artistic pursuits and natural beauty.

Our Commitment

The University of Washington is committed to fostering an inclusive respectful and welcoming community for all. As an equal opportunity employer the University considers applicants for employment without regard to race color creed religion national origin citizenship sex pregnancy age marital status sexual orientation gender identity or expression genetic information disability or veteran status consistent with UW Executive Order No. 81.

To request disability accommodation in the application process contact the Disability Services Office at or .

Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.