Patient Account Representative 3, Appeals and Underpayments

Job Description UW Medicine’s 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 inbound calls with patients, their families or representatives, insurance companies, attorneys, corporate clients, etc. in a structured environment working under a set schedule and tight timeframes. Independently manage special billing programs and projects such as specialty services and 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. Assist patients or their representatives in understanding their financial obligation and developing solutions to meet their financial responsibilities. Communicate with Medical Centers' staff, patients and/or third party payers as required to obtain or verify billing information, payment, and answer questions or resolve concerns. Obtain detailed information from patient and relay information to appropriate medical center, billing department, or patient relations staff as necessary to improve service to patients. Research and resolve underpaid accounts. Determine and post adjustments to patient accounts in accordance with department procedures. Assist in orienting and training new staff. Meet deadlines and departmental quality and performance standards. Review the status of the entire patient account and exercise judgment to determine appropriate course of action for resolution. May maintain spreadsheets and write original correspondence using 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. Compensation, Benefits and Position Details Pay Range Minimum: $24.60 hourly Pay Range Maximum: $35.21 hourly Other Compensation: - Benefits: For information about benefits for this position, visit Shift: First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent): 100.00% Union/Bargaining Unit: SEIU Local 925 Nonsupervisory Equal Opportunity & Discrimination Policy The University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information. To request disability accommodation in the application process, contact the Disability Services Office at View phone number on click.appcast.io or View email address on click.appcast.io. 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. Health and Safety University of Washington is committed to fostering an inclusive, respectful and welcoming community for all as an equal opportunity employer, in accordance with UW Executive Order No. 81. #J-18808-Ljbffr University of Washington