FINANCIAL ACCESS SPECIALIST LEAD - FACT
Req #: | 167572 |
Department: | |
Job Location: | Sand Point |
Posting Date: | 05/20/2019 |
Closing Info: | Open Until Filled |
Salary: | $3673.00 to $4,936 per month |
Union Position: | Yes |
Shift: | First Shift |
Notes: | This position provides opportunities to work in a fast-paced, challenging, diverse and rewarding environment. As an employee you will enjoy generous benefits and work/life programs. For detailed information on Benefits for this position, click here. |
UW Medicine Financial Access Clearance Team Services Department (FACT): This Financial Access Specialist Lead position is primarily located at Sand Point, in the Magnuson Park Area, but job responsibilities may require location at other UWM Hospital and Non-Hospital Campus locations. Hours for this position at start of employment are Mon-Fri 8:30am to 5:00pm but are subject to change due to operational need.
The Financial Access Specialist Lead (FAS-Lead) will, under general supervision of the FAS-Supervisor, lead Financial Access Specialists and other assigned staff and perform the work of Financial Access Specialists. Under general direction of the Financial Access Specialist Supervisor, the FAS Lead regularly assigns, instructs, and checks the work of others, trains and orients staff, provides feedback on employee performance, as well as identifies and resolves problems as delegated by and in collaboration with the Financial Access Specialist Supervisor.
This Financial Access Specialist Lead (FAS-Lead) position coordinates the insurance clearance process for Inpatient planned and unplanned admits, for Outpatient Surgery, Clinic Procedures, high dollar Infusion, and/or Radiology high dollar Procedures. Performs the 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.
Under general supervision, the FAS-Lead will:
•Participate in interviewing applicants and training and orienting new employees to department
•Review and correct the work performed by others for compliance with established procedures
•Monitor and evaluate policies and procedures; recommend changes as necessary
Participate in and/or lead special project work
•Attend continuing education workshops and other training activities to keep up to date with current hospital practices and payer requirements
•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 payor
•Collect payments
•Process payments using cash drawer in Epic
•Call patients to provide overview of limited medical benefits and Out-of-Pocket cost
•Prepare and/or facilitate the coordination of Notice of Non-Coverage forms 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 payor for surgery
•Coordinates and explains options to patients related to potential financial responsibilities including Financial Assistance, possible Medicaid eligibility, financial implications of proceeding with or without authorizations, and in and out-of-network ramifications
•Confer with Financial Access Specialist Supervisor if coverage status unclear or other information unclear
•Interpret hospital's policies, procedures and services to patients, Financial Access Specialists, inter/intra-hospital departments and community facilities.
Perform related duties as required
REQUIRED:
High School diploma or GED certificate plus three years of experience in a medical office setting; OR, equivalent education/experience.
Committed to attracting and retaining a diverse staff, your experiences, perspectives and unique identities will be honored at the University of Washington. 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.