| This position is located at Sandpoint in the Magnuson Park area |
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.
UW Medicine ERCO-Financial Access Center has an outstanding opportunity for a Financial Access Specialist 2. Hours for this position at start of employment are Monday through Friday, 9:30am to 6:00pm. Working under direct supervision, this individual will 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. 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 coverages.
Duties and Responsibilities:
Review scheduled appointments through patient work queue.
Obtain insurance authorizations through assigned payer administrators.
Verify/document patients eligibility and benefits in Epic authorization/certification.
Document progress of each case in Epic authorization/certification.
Refer uninsured patients for Medicaid/Charity eligibility screening.
Prepare estimates of fees upon request from Patient Care Consultants.
Review payment options with patients.
Keep daily productivity log as assigned.
Provide internal customers on-going status of inpatient/outpatient authorization by payor.
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.
Provide internal customers on-going status of inpatient/outpatient authorization from the payor for surgery.
Coordinate and explain 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.
Perform other related duties as required.