All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored.
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.?
The PATIENT FINANCIAL SERVICES department has an outstanding opportunity for a FULL TIME (40 HOURS PER WEEK), DAY SHIFT, PATIENT ACCOUNT REPRESENTATIVE 3. This individual will perform complex duties related to the patient accounts receivable. Patient accounting functions include billing, follow-up, collections, incoming inquiries, audit resolutions, cash applications, credit balance resolutions, and registration updates.
The PATIENT ACCOUNT REPRESENTATIVE 3 will manage patient accounts for specific complex patient populations such as, but not limited to, case rate contracts, specialty billing agreements, institutional/corporate accounts and transplants. They will work as a liaison between patient’s insurance and other UW Medicine entities to resolve specialty and complicated billing issues. Working 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.
This PATIENT ACCOUNT REPRESENTATIVE 3 will be managing the Progyny Program for UWMC Reproductive Clinic, which is a high profile fertility contract. This payer is the largest payer for the URC clinic and is monitored closely. They will also be managing all of the Freestanding Clinic inventory for NW Freestanding Clinic and Eastside Specialty Clinic that are under the UWMC umbrella for infusions that are not covered in a hospital setting. These clinics infuse high cost drugs and require a special skill set and high level of review and audit prior to billing to ensure UWMC is reimbursed correctly. Institutional and Corporate contract accounts with UWMC will also be managed by this position. They require experience that will allow them to assist with training on multiple PFS functions in follow-up as well as back fill for any absences with our current Transplant Coordinators.
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 transplants
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
Assist in orienting and training new staff
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
High School graduation or equivalent AND three years of experience in patient accounting, customer service, or a related office environment OR
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
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.