This classification is governed by a negotiated labor contract and is subject to union shop provisions. For more information about union shop provisions, visit Union Information
As a UW employee, you will enjoy generous benefits and work/life programs. For detailed information on Benefits for this position, click here.
Please note: this posting will be used to fill two Patient Financial Services Specialist 2 positions.
As a UW employee, you have a unique opportunity to change lives on our campuses, in our state and around the world. UW employees offer their boundless energy, creative problem solving skills and dedication to build stronger minds and a healthier world.
UW faculty and staff also enjoy outstanding benefits, professional growth opportunities and unique resources in an environment noted for diversity, intellectual excitement, artistic pursuits and natural beauty. All of which has allowed the UW to be nationally recognized as a Great College to Work For for four consecutive years.
The Office of Clinical Services at the School of Dentistry has an outstanding opportunity for a full-time, Patient Financial Services Specialist 2.
This position is responsible for considering the status of the entire patient account and for exercising judgment to determine appropriate course of action for resolution of the patient account in its entirety. Under general supervision of the Manager of Accounts Receivable, this individual will prepare, submit, and follow up on HCFA and ADA claim forms sent via Electronic Data Interchange or paper; review Electronic Remittance Advice/Explanations of Benefits for payment/denial, and take appropriate action; review patient accounts and prepare Accounts Receivable (A/R) transactions including processing payments, adjustments, and collections; access computer databases to obtain eligibility information; update patient demographic and financial information; communicate with School of Dentistry staff, physicians, students, patients and/or third party payers as required to obtain or verify billing information or payment, and answer questions/resolve concerns; document specific actions taken on individual accounts in the axiUm system.
Primary Job Responsibilities
Review patient financial information to verify third-party payer requirements have been met;
Audit information on claim forms for accuracy and completeness; submit claims to third-party payers, including using a direct entry claims interface system;
Accurately prepare and input adjustments and payments to patient accounts according to third-party payer requirements and department procedures;
Access major payers' information on-line to obtain eligibility and claims processing information;
Respond to inquiries from patients, third-party payers and agencies, and other departments;
Analyze unpaid third-party claims to determine appropriate follow-up action to assure payment;
Analyze third-party reimbursement for accuracy;
Contact patients and payers by telephone to resolve account balances;
Process and post appropriate transactions to correct inaccurate account balances;
Prepare correspondence to address account concerns;
Analyze delinquent accounts with regard to billing and payment history and determine appropriate follow-up procedure based on departmental guidelines;
Prepare accounts for transmittal to collection agencies when department collection efforts are determined to be unsuccessful;
Process according to department procedure accounts which have been identified as returned mail or bankrupt or deceased patients;
Post and reconcile daily remittances to patient accounts;
Resolve credit balances through allowances, adjustments, or refunds to patients or third-party payers;
Perform related duties as required.
Maintain confidentiality of all medical, financial or other sensitive materials and information in printed, electronic or verbal form, which may jeopardize the privacy of patients.
Access and use the minimum necessary patient identifiable information to perform job responsibilities and duties and only for authorized purposes.
REQUIREMENTS High School graduation or equivalent AND two years of experience in an appropriately related patient accounting function OR Equivalent education/experience.
Experience with HCFA and ADA claim data elements.
Experience working with medical and dental insurance.
Experience reviewing and interpreting insurance explanation of benefits and remittance advice.
Ability to communicate effectively with co-workers and patients.
Ability to meet deadlines and departmental productivity standards.
Ability to accurately prepare A/R payments, adjustments, and allowances.
Ability to adhere to and apply policies and procedures to work processes.
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergra...duate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.