University of Washington Physicians (UWP) is the practice group for more than 1,800 physicians and other healthcare professionals associated with UW Medicine. In addition to UWP, UW Medicine includes Harborview Medical Center, UW Medical Center, UW Neighborhood Clinics, Northwest Hospital, the UW School of Medicine, Valley Medical Center, and Airlift Northwest. UWP members also practice at the Seattle Cancer Care Alliance, a partnership of UW Medicine, Fred Hutchinson Cancer Research Center, and Seattle Children’s Hospital.
The Patient Account Representative 2 (Insurance Follow Up) is responsible for the optimal payment of claims from commercial insurers, managed care plans, and state and federal plans and other guarantors through work queues throughout the Revenue Cycle including but not limited to Follow-up, Claim Edit, Charge Review, Account, Router Review, Retro Review and Case Rate.
ESSENTIAL DUTIES AND RESPONSIBILITIES •Conduct timely and accurate work with the goal of resolving outstanding claims quickly and maximizing appropriate revenue. •Accurately decipher denial reason and decides follow-up steps utilizing the Epic billing system by analyzing rejection issues. •Identify and resolve payor specific coding issues and provide feedback to Coding and Charge Capture team as appropriate. •Display sound judgment in choosing the most efficient and effective method of follow-up (includes appealing denials, taking adjustments, e-mail, payor websites and telephone inquiries). •Effectively communicate verbally and in writing with payers to bring resolution to claims as quickly as possible •Keep current with payor updates and policies to assist in payment of claims. •Document clear and concise narrative using smartphrases in Epic of steps taken to facilitate resolution of outstanding claims/issues. •Take accountability for meeting productivity standards and department required quality measures. Work collaboratively with UW Medicine and UWP departments including Compliance, Charge Capture, Patient Accounts & Inquiry, Claim, Payment & Credit, Payor Relations, and Physician Services. •Actively seeks and recommends process improvement opportunities through daily work. •Perform other duties, as assigned.
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 undergraduate 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.