[Hiring] Patient Account Representative 2 @University of Washington Medical Center

Role Description

• Edit, prepare, and submit UB-04, CMS-1500, ADA, and other applicable billing forms and electronic claims in accordance with regulatory requirements.
• Analyze and take appropriate action on unresolved insurance accounts, including denied, rejected, unpaid, underpaid, suspended, or otherwise unresolved claims.
• Perform insurance claim and account follow-up by researching claim status, payer processing requirements, eligibility, benefits, authorizations, medical necessity requirements, and payment discrepancies.
• Review and analyze payer denials and claim rejections to determine the appropriate corrective action, including claim correction, rebilling, reconsideration, appeal, adjustment, or other payer follow-up necessary to resolve the account.
• Review the status of the entire patient account and exercise independent judgment to determine the appropriate course of action for resolution, considering claim history, payer responses, payments, adjustments, and outstanding balances.
• Prepare and/or process Accounts Receivable adjustments in accordance with departmental policies, payer requirements, contractual terms, and established adjustment guidelines.
• Analyze insurance credit-balance accounts to determine the cause of the credit balance and take appropriate action to resolve payer overpayments, duplicate payments, and payment posting discrepancies.
• Utilize available systems, payer portals, internal resources, and other reference materials to obtain and verify insurance eligibility, benefits, coverage, authorization, claim status, and payment.
• Update patient demographic, insurance, and payer information in applicable systems to support accurate claim submission, payer processing, reimbursement, and account resolution.
• Communicate effectively with Medical Center staff and third-party payers as required to obtain, verify, and resolve billing, claim, eligibility, authorization, payment, and reimbursement information.
• Maintain spreadsheets, reports, and other tracking tools to support account follow-up, workload management, payer activity, reimbursement analysis, and departmental reporting; utilize Microsoft Excel, Word, and other applicable software to prepare correspondence and documentation.

Qualifications

• High School graduation or equivalent AND two 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

• Knowledge of UB, CMS 1500, ADA and other utilized billing forms and payer requirements.
• Knowledge of Epic Hospital Billing and/or SBO (a combination of hospital and professional) billing, and registration systems.
• Related office environments include Hospital or SBO: patient financial services, insurance billing, claims processing and follow-up, claims denials, appeals, underpayments or other business office settings involving patient account insurance billing and follow-up functions.

Benefits

• Pay Range Minimum: $23.41 hourly
• Pay Range Maximum: $33.47 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