As a UW employee, you have a unique opportunity to change lives on our campuses, in our state and around the world. UW employees offer their boundless energy, creative problem solving skills and dedication to build stronger minds and a healthier world. UW faculty and staff also enjoy outstanding benefits, professional growth opportunities and unique resources in an environment noted for diversity, intellectual excitement, artistic pursuits and natural beauty. All of which has allowed the UW to be nationally recognized as a "Great College to Work For" for five consecutive years. The Department of Patient Revenue Cycle at the UW School of Dentistry supports dental/medical coding, billing and collection activity for patients treated by students and faculty at 13 dental clinics on campus and off-site clinics and medical centers. We employ a team-oriented approach to provide excellent customer service to patients - and to provide training and coding/billing support to School of Dentistry students, faculty, and staff.The Patient Account Representative 3 (50% FTE) will prepare, submit, and follow up on HCFA and ADA claim forms sent via Electronic Data Interchange or paper; review Electronic Remittance Advice/Explanations of Benefits for payment/denial and take appropriate action; review patient accounts and prepare Accounts Receivable (A/R) transactions including processing payments, adjustments, and collections; access computer databases to obtain eligibility information; update patient demographic and financial information; communicate with School of Dentistry staff, physicians, students, patients and/or third party payers as required to obtain or verify billing information or payment, and answer questions/ resolve concerns; document specific actions taken on individual accounts in the axiUm system. Patient accounts include those of a complex nature, such as case-rate transplant patients, medically complex trauma patients, oral reconstruction and rehabilitation patients, and patients under financial contracts in specialty clinics.Duties and Responsibilities Review patient financial information to verify third-party payer requirements have been met; Audit information on claim forms for accuracy and completeness; submit claims to third-party payers, including using a direct entry claims interface system; Accurately prepare and input adjustments and payments to patient accounts according to third-party payer requirements and department procedures; Access major payers' information on-line to obtain eligibility and claims processing information; Respond to inquiries from patients, third-party payers and agencies, and other departments; Analyze unpaid third-party claims to determine appropriate follow-up action to assure payment; Analyze third-party reimbursement for accuracy; Contact patients and payers to resolve account balances; Process and post appropriate transactions to correct inaccurate account balances; Prepare correspondence to address account concerns; Analyze delinquent accounts with regard to billing and payment history and determine appropriate follow-up procedure based on departmental guidelines; Verify and post appropriate patient and insurance adjustments in accordance with department guidelines; Prepare accounts for transmittal to collection agencies when department collection efforts are determined to be unsuccessful; Resolve credit balances through allowances, adjustments, or refunds to patients or third-party payers; Participate in regular meetings and efforts at process improvement; Perform related duties as required.Requirements High School graduation or equivalent AND three years of experience in patient accounting, customer service, or a related office environment. OR Equivalent education/experience.Desired Ability to meet deadlines and departmental high productivity standards Experience with HCFA and ADA claim data elements. Experience working with medical and dental insurance. Experience reviewing and interpreting insurance explanation of benefits and remittance advice. Ability to document work activity on accounts - and communicate effectively with patients, co-workers, and providers using excellent verbal/written skills Ability to accurately prepare A/R payments, adjustments, and allowances Ability to adhere to and apply policies and procedures to work processesEquivalent education/experience will substitute for all minimum qualifications except where there are legal requirements such as license/certification/registration.BENEFITSFor detailed information on Benefits for this position, click here.Application Process The application process for UW positions may include completion of a variety of online assessments to obtain additional information that will be used in the evaluation process. These assessments may include Workforce Authorization, Cover Letter and/or others. Any assessments that you need to complete will appear on your screen as soon as you select "Apply to this position". Once you begin an assessment, it must be completed at that time; if you do not complete the assessment you will be prompted to do so the next time you access your "My Jobs" page. If you select to take it later, it will appear on your "My Jobs" page to take when you are ready.Please note that your application will not be reviewed, and you will not be considered for this position until all required assessments have been completed.
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.