Patient Account Representative 3, Appeals and Underpayments

Job 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

REQUIREMENTS

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.

DESIRED:

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.

ABOUT UW MEDICINE – WHERE YOUR IMPACT GOES FURTHER

UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. 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.

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. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.

Become part of our team. Join our mission to make life healthier for everyone in our community.

Compensation, Benefits and Position Details

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About the UW 

Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world.  

UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. 

Our Commitment 

The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81.

To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu. 

Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.