A remarkable team of nearly 30,000 caring professionals comes together each day at UW Medicine to improve the health of the public. For us, working here is not just a job—it’s a calling. As providers, faculty, scientists, staff and administrators from diverse backgrounds, we are united by our dedication to excellence in providing patient-centered care, conducting innovative research and teaching the next generation of healthcare professionals.
UW Medicine Faculty Practice Plan Services (FPPS) supports UW Physicians (UWP), a practice group for more than 1,800 physicians and other healthcare professionals associated with UW Medicine. UW Medicine includes Harborview Medical Center, UW Medical Center - Montlake, UW Neighborhood Clinics, UW Medical Center - Northwest, the UW School of Medicine, Valley Medical Center, and Airlift Northwest. UWP members also practice at the Seattle Cancer Care Alliance, a partnership of UW Medicine, Fred Hutchinson Cancer Research Center, and Seattle Children’s Hospital.
The Patient Account Representative 3 (Special Processing) is responsible for helping to coordinate and accurately bill for services related to Research Studies /Special Processes and Budgets. PAR3 will review/work edits, add appropriate modifiers for billing, and ensure that claims are billed in a timely manner. This position also includes follow up on denied & no response claims through studies/grants/budgets and insurance. This position requires extensive contact with Study Coordinators and others throughout UW Medicine and requires attention to detail.
ESSENTIAL DUTIES: • Monitor electronic charge import Charge Review Work Queues to prospectively identify problems. Responsible for taking the necessary steps to address problem and mitigate impact. • Work collaboratively with Research Study Coordinators, Providers and • Research Partners to ensure accuracy of research billing and timely resolution of research claims. • Assist with defining needs for charge review edits, including the development and testing of new edits. • Assist with account level research and investigation of problem accounts as requested by a Charge Capture or Insurance Follow-up Supervisor or Manager. • Process transactions in assigned Charge Review Work Queues and Follow up Work queues and charge documents as needed, timely and accurately. • Validate all charge input including CPT, HCPCS and ICD-9/10 codes. • Respond to all inquiries regarding Special Billing accounts and maintains Account Work Queues Special Billing accounts. Work with Supervisor to develop and maintain procedures for UWP Special Billing accounts. • Prepare regular Fastrans transmittal for the billing and reconciliation of budget and grant payments. • Provide support to Claims Manager Business Analyst. • Perform other duties, as assigned
PROGRAM SPECIFC REQUIREMENTS: • Knowledge of CMS/HCFA and/or teaching physician documentation standards. • Knowledge of ICD-10, CPT and HCPS coding and medical terminology. 10 -key, by touch. • Ability to complete detail-oriented work in a timely manner. • Ability to maintain confidentiality and handle sensitive information with solid judgment and discretion. • Ability to prioritize workload and meet quality and production standards. • Ability to read and understand written sentences and paragraphs in work related documents. • Ability to work well with a variety of people and be a team player. • Excellent oral and written communication skills, with the ability to convey a positive and professional image, and to interact effectively with diverse personalities and backgrounds. • Excellent typing/keyboarding skills with a high degree of accuracy to input data, process information and extract information in various report and presentation formats. • Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar. • Strong customer service and relationship management skills.
MINIMUMS: • High School graduation or equivalent AND three years of experience in patient accounting, customer service, or a related office environment OR equivalent education/experience.
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.