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
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 (UWMC), 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 Patient Financial Services department has an outstanding opportunity for a full-time, PATIENT FINANCIAL SERVICES SPECIALIST 2. This individual will prepare UB, CMS 1500, ADA, and other utilized billing forms via paper or electronic means. Prepare Accounts Receivable (A/R)transactions, access computer databases to obtain eligibility information, update patient demographic and financial information, communicate with Medical Centers' staff, patients and/or Commercial, Medicare and Medicare Med Advantage payors as required to obtain or verify billing information or payment. Answer questions, resolve concerns and document specific actions taken on individual accounts in the Epic Hospital Billing system. 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.
Prepare UB, CMS 1500, ADA and other utilized billing forms via paper or electronic means according to Government payor specific rules
Prepare Accounts Receivable (A/R) transactions
Access our computer databases to obtain eligibility information
Update patient demographic and financial information in the registration systems
Communicate with Medical Centers' staff, patients and/or third party payors as required to obtain or verify billing information, payment, and answer questions or resolve concerns
Review 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
May analyze financial information provided by patients to determine their ability to make payments or qualify for financial assistance in accordance with the Medical Centers' Financial Assistant Policy. This may include setting up appropriate payment plans
May skip trace return mail accounts
May analyze bankrupt or deceased patient accounts
May analyze their credit balance account to determine correct action.
May receive, review, balance and distribute daily payments from various payors. This includes daily batching, balancing and reconciliation functions
May maintain spreadsheets and write original correspondence using Microsoft Excel and Word software
May evaluate patient accounts for accurate reimbursement based on payor contracts
Perform other duties as assigned
Demonstrate knowledge and understanding of patient privacy rights
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
Demonstrate knowledge and understanding of and maintain confidentiality of patient information, Medical Center strategic plans, initiatives, financial information and/or other sensitive materials and information in printed, electronic or verbal form which may jeopardize employee rights or organization's operations
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.
REQUIREMENTS: High School graduation or equivalent AND two years of experience in an appropriately related patient accounting function. OR Equivalent education/experience.
Knowledge of UB, CMS 1500, ADA and other utilized billing forms Data Elements and payor requirements
Accurately edit, prepare and submit claims electronically
Communicate effectively with co-workers and public
Ability to document work
Meet departmental deadlines and productivity standards
Knowledge of Epic Hospital Billing Accounts Receivable (A/R) Transaction Codes and basic accounting principles
Accurately prepare A/R cash, adjustments and allowances
Knowledge of Epic Hospital Billing system, internal filing systems, medical centers registration systems and third party databases
Retrieve data, remittance advice and other Epic Hospital Billing systems in-put
Verify eligibility and claims status information
Update Epic Hospital Billing and registration systems
Knowledge of PFS and medical centers compliance and ethics policies and procedures
Adhere to and apply policies and procedures to work processes
Evaluate patient accounts for accurate reimbursement, refund, financial assistant allowance or acceptable payment arrangements
Knowledge of office machines and equipment.
Ability to use photocopier, fax, personal computer and 10-key adding machine by touch
Provide excellent customer service to the medical centers customers.
Maintain effective working relationships with others
Patient Accounts Evaluator, Follow-up and Collection judgment skills
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.