PATIENT ACCOUNT REPRESENTATIVE 2 (INSURANCE FOLLOW UP)
Req #: | 176554 |
Department: | UW PHYSICIANS |
Job Location Detail: | 701 5th Avenue Seattle, WA 98104 |
Posting Date: | 02/04/2020 |
Closing Info: | Open Until Filled |
Salary: | $3,331.00 - $4,452.00 per month ($19.22 - $25.68 per hour) |
Union Position: | Yes |
Shift: | First Shift |
Notes: | For detailed information on Benefits for this position click here. |
The Patient Account Representative 2 (Insurance Follow Up) is responsible for the optimal payment of claims from commercial insurers, managed care plans, and state and federal plans and other guarantors through work queues throughout the Revenue Cycle including but not limited to Follow-up, Claim Edit, Charge Review, Account, Router Review, Retro Review and Case Rate.
ESSENTIAL DUTIES AND RESPONSIBILITIES
• Conduct timely and accurate work with the goal of resolving outstanding claims quickly and maximizing appropriate revenue.
• Accurately decipher denial reason and decides follow-up steps utilizing the Epic billing system by analyzing rejection issues.
• Identify and resolve payor specific coding issues and provide feedback to Coding and Charge Capture team as appropriate.
• Display sound judgment in choosing the most efficient and effective method of follow-up (includes appealing denials, taking adjustments, e-mail, payor websites and telephone inquiries).
• Effectively communicate verbally and in writing with payers to bring resolution to claims as quickly as possible
• Keep current with payor updates and policies to assist in payment of claims.
• Document clear and concise narrative using smartphrases in Epic of steps taken to facilitate resolution of outstanding claims/issues.
• Take accountability for meeting productivity standards and department required quality measures. Work collaboratively with UW Medicine and UWP departments including Compliance, Charge Capture, Patient Accounts & Inquiry, Claim, Payment & Credit, Payor Relations, and Physician Services.
• Actively seeks and recommends process improvement opportunities through daily work.
• Perform other duties, as assigned.
• High School graduation or equivalent AND two years of experience in patient accounting, customer service, or a related office environment OR equivalent education/experience.
Desired Qualifications:
• 2 years with CPT procedures codes, medical terminology and billing procedures.
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.