PATIENT ACCOUNT REPRESENTATIVE 3 (FULL TIME, DAYS)

Notes: The UW is proud to be one of the nation’s premier educational and research institutions. Our people are the most important asset in our pursuit of achieving excellence in education, research, and community service. Our staff not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity, community involvement, intellectual excitement, artistic pursuits, and natural beauty. As an employee you will enjoy generous benefits and work/life programs. For a complete description of our benefits for this position, please click here.

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.

Our PATIENT FINANCIAL SERVICES (PFS) department has an outstanding opportunity for a full-time PATIENT ACCOUNT REPRESENTATIVE 3.

The main duties are managing and maintaining departmental quality audits, as well as onboarding and continued education and development of employees. This individual needs to possess the ability to perform complex duties related to the patient accounts receivable. Patient accounting functions include but are not limited to: employee audits, onboarding/training, billing, follow-up, collections, incoming inquiries, audit resolutions, cash applications, credit balance resolutions, and registration updates.

This individual may also manage patient accounts for specific complex patient populations such as, but not limited to, patient inquiries and disputes, specialty billing agreements, and institutional/corporate accounts. Work as a liaison between department leadership, staff as well as other UW Medicine entities to resolve specialty and complicated billing issues. Work 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.

RESPONSIBILITIES:

Maintain quality metric system of record

Assist in orienting and training new staff, and continued education for existing employees.

Compose and maintain departmental policy

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;

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;

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.

Other duties as assigned.?

Requirements:
High School graduation or equivalent AND three years of experience in patient accounting, customer service, or a related office environment

OR

Equivalent education/experience.

Desired:

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.

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.

Committed to attracting and retaining a diverse staff, the University of Washington will honor your experiences, perspectives and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.

The University of Washington is a leader in environmental stewardship & sustainability, and committed to becoming climate neutral.

The University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information.

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

COVID-19 VACCINATION REQUIREMENT

Governor Inslee's Proclamation 21-14.2 requires employees of higher education and healthcare institutions to be fully vaccinated against COVID-19 unless a medical or religious exemption is approved. Being fully vaccinated means that an individual is at least two weeks past their final dose of an authorized COVID-19 vaccine regimen. As a condition of employment, newly hired employees will be required to provide proof of their COVID-19 vaccination. View the Final candidate guide to COVID-19 vaccination requirement webpage for information about the medical or religious exemption process for final candidates.