Financial Access Specialist Lead
About UW Medical Center-Montlake
UW Medical Center is an acute care academic medical center located in Seattle with two campuses: Montlake and Northwest. As the No. 1 hospital in Seattle and Washington State since 2012 (U.S. News & World Report) and nationally ranked in seven specialties, UW Medical Center prides itself on compassionate patient care as well as its pioneering medical advances. The UW Medical Center-Montlake campus is located on the edge of the beautiful UW campus which includes many amenities available to our staff as well as very convenient public transit options including the Sound Transit's light rail station across the street.
About UW Medicine
UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. 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. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.
Work Schedule
40 hours per week, days
Responsibilities
- 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 payments
- 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 health services manager if coverage status is unclear or other information unclear
- Interpret hospital's policies, procedures and services to patients, Financial Access Specialists, inter/intra-hospital departments and community facilities
Requirements
- High School diploma or GED certificate plus three years of experience in a medical office setting
- Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration
Pay
Pay Range Minimum: $26.38 hourly
Pay Range Maximum: $37.73 hourly
Schedule
Shift: First Shift
FTE: 100.00% (Regular position)
Benefits
For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/