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.
FPPS has an outstanding opportunity for a full-time, days, CREDIT BALANCE SPECIALIST (PATIENT ACCOUNT REPRESENTATIVE 2).
The Credit Balance Specialist is responsible for analyzing credit balances on patient accounts to determine proper steps for resolution, responding to refund request letters from insurance carriers, reviewing manual refund requests generated by outside entities including requests from other UWP departments and hospital clinic staff, and assisting in posting insurance payments and denials to patient accounts as needed.
Analyze EPIC accounts in assigned credit balance (CB) work queues to resolve both distributed and undistributed credit balances
Determine proper coordination of benefits
Add missing coverage(s) to EPIC accounts and/or update any outdated coverage information
Add account comments regarding coverage changes/additions, documenting who was consulted (payer contact name and phone number, reference to website, etc.)
Analyze credit balance inquiries and potential refund requests from other internal UWP departments. These include verbal, phone, and email requests, as well as direct account transfers into specially marked high priority work queues
Process Compliance Department refund requests as a top priority. Adjust work schedule and priorities as needed to accommodate for any special compliance refund projects
Identify payer-specific trends such as: o New ANSI codes that appear to be mis-mapped (on either the payer side or the UWP side)
Sudden spikes in denials linked to a specific proprietary EOB code
Write-offs not being taken when certain EOB codes are entered o Balances NRPing when they should not, or vice versa
Maintain various MS Excel spreadsheets and MS Access databases to track credit balance refunds produced and collection agency referrals paid directly to UWP
Maintain daily time-tracking statistics in MS Excel
Perform other duties, as assigned
REQUIREMENTS: High School graduation or equivalent AND two 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.