Herc-Higher Education Recruitment Consortium

A higher degree of healthcare.

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.

Become part of our team, and join our mission to make life healthier for everyone in our community.

This position may be located at any of the following UWM Campuses; Sandpoint Non-Seattle Campus (Magnusen Park), Harborview Medical Center (HMC), University of Washington Medical Center (UWMC) or other University of Washington Medicine (UWM) organization non-campus locations within the FACT department.

The UW MEDICINE FINANCIAL ACCESS CLEARANCE TEAM has an outstanding opportunity for a FULL TIME (40 HOURS PER WEEK, 100% FTE), DAY SHIFT, FINANCIAL ACCESS SPECIALIST 1.The FINANCIAL ACCESS SPECIALIST 1 (FAS 1) will, under general supervision, participate in on-the-job training to learn to coordinate the insurance clearance process for Inpatient planned and unplanned admits, for Outpatient Surgery, Clinic Procedures, high dollar Infusion, and/or Radiology high dollar Procedures, as well as, various functions associated with 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 verifies L&I, Crime Victims and other coverages.

RESPONSIBILITIES:

The FINANCIAL ACCESS SPECIALIST 1 will:

Review scheduled appointments through patient work queue

Obtain insurance authorizations through assigned payer administrators

Verify/document patients eligibility and benefits in Epic auth/cert

Document progress of each case in Epic auth/cert

Refer uninsured patients for Medicaid/Charity eligibility screening

Prepare estimates of fees upon request from Patient Care Consultants

Review payment options with patients

Keeps daily productivity log as assigned

Provides internal customers on-going status of inpatient/outpatient authorization by payer

Collect payments

Process payments using cash drawer in Epic

Call patients to provide overview of limited medical benefits and Out-of-

Pocket cost

Prepare Notice of Non-Coverage form for patient signature

Call referring providers to obtain referrals or to initiate authorization

Provide internal customers on-going status of inpatient/outpatient authorization from the payer for surgery

Coordinate and explains options to patients related to potential financial
responsibilities including charity/financial assistance, possible Medicaid eligibility, financial implications of proceeding with or without authorizations, and in and out-of-network ramifications

Confer with Financial Clearance supervisor if coverage status is unclear or other information is unclear

Interpret hospital's policies, procedures and services to patients, patient representatives, inter/intra-hospital departments and community facilities

Ensures patient demographic information is accurate in EPIC and REG, through patient contact or insurance verification information

Verify eligibility of patient’s insurance and document information.

Verify patient benefits and document information.

Verify or obtain an referral when it is required, prior to the service

REQUIREMENTS:

High School diploma or GED certificate plus one year of experience in a medical office setting; OR equivalent education/experience

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.