The job description for this position has changed from the original posting - Candidates who have already applied do not need to re-apply
UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals.
Our PATIENT ACCOUNT and SUPPORT SERVICES department has an outstanding opportunity for a full-time PATIENT ACCOUNT REPRESENTATIVE 3.
This individual will: Perform complex duties related to the patient accounts receivable. Patient accounting functions include employee audits, training billing, follow-up, collections, incoming inquiries, audit resolutions, cash applications, credit balance resolutions, and registration updates. The main duties are managing and maintaining departmental quality audits, as well as onboarding and continued education and development of employees. This individual may also manage patient accounts for specific complex patient populations such as, but not limited to, patient inquiries and disputes, specialty billing agreements, and institutional/corporate accounts. Work as a liaison between department leadership, staff as well as other UW Medicine entities to resolve specialty and complicated billing issues. Work directly with appropriate medical center, billing departments, patient access and clinical staff as necessary to improve service to patients. Answer questions, resolve concerns and document specific actions taken on individual accounts in the Epic Hospital Billing and/or Professional Billing systems. This position is responsible for considering the status of the entire patient account and for exercising judgment to determine appropriate course of action to bring account to resolution.
Maintain quality metric system of record Assist in orienting and training new staff, and continued education for existing employees. Compose and maintain departmental policy 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; 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; 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.
Other duties as assigned.
DESIRED: 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.
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.