FINANCIAL ACCESS SPECIALIST 1

University of Washington Seattle, WA Full-time Finance

Posted on September 28, 2019

Req #:	161048
Department:	PATIENT ACCESS
Job Location:	Sand Point
Posting Date:	10/24/2018
Closing Info:	Open Until Filled
Salary:	$17.65 - $23.51 per hour
Union Position:	Yes
Shift:	First Shift
Notes:	This position is established for a duration of 12 months with a possible extension. The candidate will receive extensive FINANCIAL CLEARANCE and EPIC training for the first seven weeks and on-going cross training for the duration of the engagement. The Candidate should expect to work 3 days per week for the first seven weeks and variable number of days for the remaining of the engagement. Candidates in this role will be well positioned to apply for Full-Time roles within the Financial Access and Clearance Team as they become available.

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. UW Medicine owns or operates Harborview Medical Center, Northwest Hospital & Medical Center, Valley Medical Center, UW Medical Center, a network of UW Medicine Neighborhood Clinics that provide primary care, UW Physicians, UW School of Medicine, Airlift Northwest, and other owned, operated or affiliated entities as appropriate. In addition, UW Medicine shares in the ownership and governance of Children’s University Medical Group and Seattle Cancer Care Alliance a partnership among UW Medicine, Fred Hutchinson Cancer Research, and Seattle Children’s. 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.

UW Medicine has an outstanding opportunity for a DIRECT TEMPORARY HOURLY FINANCIAL ACCESS SPECIALIST 1. Under direct supervision the Financial Access Specialist 1 will, 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 coverage.

RESPONSIBILITIES:

Review scheduled appointments through patient work queue

Obtain insurance authorizations through assigned payer administrators

Verifying/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

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

Coordinates 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 unclear or other information 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 medical office setting
OR
Equivalent education/experience

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 equal opportunity, affirmative action employer. To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 / 206-543-6452 (tty) or dso@uw.edu.