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
Hours for this position at start of employment are Mon-Fri 8:30am to 5:00pm.
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. Our staff not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity, community involvement, intellectual excitement, artistic pursuits, and natural beauty.
UW Medicine's has an outstanding opportunity for a full time FINANCIAL ACCESS SPECIALIST LEAD position at our Sand Point location, in the Magnuson Park Area. The individual in this position will 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 FINANCIAL ACCESS SPECIALIST 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 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.
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 and 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
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.
MINIMUM QUALIFICATIONS - UW Contract Classified High School diploma or GED certificate plus three years of experience in a medical office setting. OR Equivalent education/experience.
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.