[Hiring] Patient Account Representative 3, Appeals and Underpayments @University of Washington

Role Description

UW Medicine’s Patient Financial Services Department has an outstanding opportunity for a Patient Account Representative 3, Appeals and Underpayments.

WORK SCHEDULE: 100% FTE, Day Shift

PRIMARY JOB RESPONSIBILITIES

• 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; Medicare RAC and Intermediary requests as well as complex billing situations.
• 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.

Qualifications

• High School graduation or equivalent AND three years of experience in patient accounting, customer service, or a related office environment.
• Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration.

Requirements

• Proven ability to compose appeals resulting in favorable results and overturned denials.
• 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.

Benefits

• Pay Range Minimum: $24.60 hourly
• Pay Range Maximum: $35.21 hourly
• For information about benefits for this position, visit this link .
• Shift: First Shift (United States of America)
• Temporary or Regular: This is a regular position
• FTE (Full-Time Equivalent): 100.00%
• Union/Bargaining Unit: SEIU Local 925 Nonsupervisory