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.
UW Medicine Insurance Eligibility and Counseling Services Department (IECS): This position will be located at either Harborview Medical Center (HMC) or University of Washington Medical Center (UWMC) or other University of Washington Medicine (UWM) organization non-campus location within the IECS department.
The FINANCIAL ACCESS SPECIALIST 1(FAS1) will, under direct supervision, act as patient advocate and independently review patient concerns for appropriate action and funding; provide financial screening and counseling for funding options; perform work that supports the patient financial services and patient relations goals of the hospital. This work includes but is not limited to performing the various functions associated with assisting patients to apply for appropriate funding/insurance; obtaining and verifying the insurance coverage and benefits for facility and professional services, which may include emergency services, inpatient hospitalization, transportation, rehab, therapies, nursing home placement, home health care/durable equipment, outpatient surgeries, clinical visits, and specialized procedures; also with application and verifying L&I, Crime Victims and other coverages. Position assesses and completes Financial Assistance and determines Financial Assistance; Affordable Care Act eligibility; triages for Medicaid and or completes DSHS Medicaid Applications and conducts all required follow-up activities; resolves complex billing issues, provides price estimates and formal quotes; collects payments and sets-up payment plans; recommends and implements appropriate solutions; acts as a liaison to the billing department, and conducts other duties associated with providing customer service within the facility. Position in this class are distinguished by the responsibility to independently review, investigate and resolve a wide variety of patient financial complaints; recommend and implement appropriate solutions.
Under direct Supervision the FAS1 will:
Interview patients and determine appropriate insurance opportunities
Complete applications which include Health Care Exchange; Medicaid, Medicaid Expansion and Medicare Part D
Manage and resolve a high volume of phone inquiries and referrals
Manage all aspects of the UW Medicine’s Financial Assistance application process
Appropriately access patient’s needs and potential funding
Obtain and verify insurance thru various web tools
Document progress of each case in Epic notes
Prepare price estimates
Demonstrates knowledge and understanding of patient privacy rights
Maintains confidentiality of all medical, financial, or other sensitive materials in printed, electronic or verbal form
Accesses and uses the minimum necessary patient identifiable information to perform job responsibilities and duties for authorized purposes only.
Interpret hospital’s policies, procedures and services to patients, patient representative, inter/intra-hospital departments and community facilities
Perform work that supports patient financial relations, resolution of billing problems and the financial assessment protocols of UW Medicine
Perform other related duties as required
High School diploma or GED certificate plus one year of experience in a medical office setting; OR equivalent education/experience.
Experience in working with UW Medicine billing practices and resolving billing inquiries. Experience working in assessing Medicaid, Affordable Healthcare, Medicare Part D program eligibility. Knowledge of UW Medicine's patient care systems and medical terminology. Excellent customer service skills.
Certified In Person Assistant (IPA)
Conditions of Employment:
If hired obtaining Certified In Person Assister (IPA) will be required. Duties to be stationed and performed within UW Medicine site locations.
UW Medicine includes Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Neighborhood Clinics, UW Physicians, UW School of Medicine, and Airlift Northwest.
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.