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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. It is important to us that all of our employees feel valued, respected and included. Thus, we are very committed to the principles of diversity, equity, and inclusion. 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 2 will prepare and submit, and follow 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 practice management system.
Duties and Responsibilities oRespond to inquiries from patients, third-party payers and agencies, and other departments; oReview patient financial information to verify third-party payer requirements have been met; oAudit information on claim forms for accuracy and completeness; submit claims to third-party payers, including using a direct entry claims interface system; oAccurately prepare and input adjustments and payments to patient accounts according to third-party payer requirements and department procedures; oAccess major payers' information on-line to obtain eligibility and claims processing information; oContact patients and payers to resolve account balances; oProcess and post appropriate transactions to correct inaccurate account balances; oPrepare correspondence to address account concerns; oAnalyze delinquent accounts with regard to billing and payment history and determine appropriate follow-up procedure based on departmental guidelines; oPrepare accounts for transmittal to collection agencies when department collection efforts are determined to be unsuccessful; oResolve credit balances through allowances, adjustments, or refunds to patients or third-party payers; oParticipate in regular meetings and efforts at process improvement oPerform related duties as required.
Required o High School graduation or equivalent AND two years of experience in an appropriately related patient accounting function OR Equivalent education/experience. o Demonstrated commitment to diversity, equity, and inclusion
Desired oAbility to meet deadlines and departmental high productivity standards oExperience with HCFA and ADA claim data elements. oExperience working with medical and dental insurance. oExperience reviewing and interpreting insurance explanation of benefits and remittance advices. oAbility to document work activity on accounts - and communicate effectively with patients, co-workers, and providers using excellent verbal/written skills oExperience working across diverse work groups oAbility to accurately prepare A/R payments, adjustments, and allowances oAbility to adhere to and apply policies and procedures to work processes
Equivalent education/experience will substitute for all minimum qualifications except where there are legal requirements such as license/certification/registration.
BENEFITS As a UW employee, you will enjoy generous benefits and work/life programs. For 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.