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University of Washington PATIENT ACCOUNT REPRESENTATIVE 3 (FULL TIME, DAYS) in Seattle, Washington

Req #: 190038


Posting Date: 05/03/2021

Closing Info: Open Until Filled

Salary: $3,558 - $4,774 per month

Shift: First Shift

Notes: As an employee you will enjoy generous benefits and work/life programs. For detailed information on Benefits for this position, click here. (

A higher degree of healthcare. 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. 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.? Become part of our team ( , and join our mission to make life healthier for everyone in our community. The PATIENT FINANCIAL SERVICES department has an outstanding opportunity for a FULL TIME (40 HOURS PER WEEK), DAY SHIFT, PATIENT ACCOUNT REPRESENTATIVE 3. This individual will perform complex duties related to the patient accounts receivable. Patient accounting functions include billing, follow-up, collections, incoming inquiries, audit resolutions, cash applications, credit balance resolutions, and registration updates. The PATIENT ACCOUNT REPRESENTATIVE 3 will manage patient accounts for specific complex patient populations such as, but not limited to, case rate contracts, specialty billing agreements, institutional/corporate accounts and transplants. They will work as a liaison between patient’s insurance and other UW Medicine entities to resolve specialty and complicated billing issues. Working directly with appropriate medical center, billing departments, patient access and clinical staff as necessary to improve service to patients. Answer questions, resolve concerns and document specific actions taken on individual accounts in the Epic Hospital Billing and/or Professional Billing systems. This position is responsible for considering the status of the entire patient account and for exercising judgment to determine appropriate course of action to bring account to resolution. This PATIENT ACCOUNT REPRESENTATIVE 3 will be managing the Progyny Program for UWMC Reproductive Clinic, which is a high profile fertility contract. This payer is the largest payer for the URC clinic and is monitored closely. They will also be managing all of the Freestanding Clinic inventory for NW Freestanding Clinic and Eastside Specialty Clinic that are under the UWMC umbrella for infusions that are not covered in a hospital setting. These clinics infuse high cost drugs and require a special skill set and high level of review and audit prior to billing to ensure UWMC is reimbursed correctly. Institutional and Corporate contract accounts with UWMC will also be managed by this position. They require experience that will allow them to assist with training on multiple PFS functions in follow-up as well as back fill for any absences with our current Transplant Coordinators. RESPONSIBILITIES:

  • Make outbound and take inbound calls with patients, their families or representatives, insurance companies, attorneys, corporate clients, etc. in a structured environment working under a set schedule and tight timeframes

  • Independently manage special billing programs and projects such as specialty services and transplants

  • Obtain detailed information to assure reimbursement and contract adherence for case rate and specialty billing programs specifically negotiated on behalf of UW Medicine

  • Assist patients or their representatives in understanding their financial obligation and developing solutions to meet their financial responsibilities

  • Communicate with Medical Centers' staff, patients and/or third party payers as required to obtain or verify billing information, payment, and answer questions or resolve concerns

  • Obtain detailed information from patient and relay information to appropriate medical center, billing department, or patient relations staff as necessary to improve service to patients

  • Research and resolve underpaid accounts

  • Determine and post adjustments to patient accounts in accordance with department procedures

  • Assist in orienting and training new staff

  • Meet deadlines and departmental quality and performance standards

  • Review the status of the entire patient account and exercise judgment to determine appropriate course of action for resolution

  • May maintain spreadsheets and write original correspondence using Microsoft Excel and Word REQUIREMENTS:

  • High School graduation or equivalent AND three years of experience in patient accounting, customer service, or a related office environment OR

  • Equivalent education/experience DESIRED:

  • Knowledge of UB, CMS 1500, ADA and other utilized billing forms and payer requirements

  • Knowledge of Epic Hospital Billing and/or Professional Billing, and registration systems UW Medicine includes Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Neighborhood Clinics, UW Physicians, UW School of Medicine, and Airlift Northwest.

University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.