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, and 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 Financial Access Clearance Team Services Department (FACT): This position will may be located at any of the following UWM Campuses; Sandpoint Non-Seattle Campus (Magnusen Park), Harborview Medical Center (HMC), University of Washington Medical Center (UWMC) or other University of Washington Medicine (UWM) organization non-campus locations within the FACT department. The Financial Access Specialist 1 (FAS-1) will, under general supervision, participate in on-the-job training to learn to 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, as well as, 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.
The FINANCIAL ACCESS SPECIALIST 1 (FAS) will:
Work under direct supervision, preforming assigned work. 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 coverages.
Under general supervision, the FAS-1 will:
* 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 payer
* Collect payments
* 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
* Provides internal customers on-going status of inpatient/outpatient authorization from the payer for surgery
* Coordinates and explains 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.
* Ensures patient demographic information is accurate in EPIC and REG, through patient contact or insurance verification information.
* Verify eligibility of patient's insurance and document information.
* Verify patient benefits and document information.
* Verify or obtain an referral when it is required, prior to the service
High School diploma or GED certificate plus one year of experience in a medical office setting. OR Equivalent education/experience.
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.
Committed to attracting and retaining a diverse staff, the University of Washington will honor your experiences, perspectives and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.
The University of Washington is a leader in environmental stewardship & sustainability, and committed to becoming climate neutral.
The University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information.
To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or firstname.lastname@example.org.
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