UW Medicine - Northwest Hospital & Medical Center

  • Patient Account Analyst - Outpatient Medical Center

    Posted Date 2 weeks ago(10/9/2018 11:15 AM)
    ID
    2018-8393
    Type
    Full Time
    Department
    8530 Patient Financial Services
    FTE
    1.00
    Shift
    1st, Days
    Job Location
    US-WA-Seattle
    New Grads?
    No
  • Overview

    Join our award-winning team at UW Medicine - Northwest Hospital & Medical Center.  We're proud of the acclaim we've received for our excellence in patient care and safety. Among the local, regional and national recognition we've received are:

    • The Distinguished Hospital for Clinical Excellence Award
    • The Emergency Medicine Excellence Award
    • This is the second consecutive year Northwest Hospital has achieved both the Spine Surgery Excellence Award and a ranking among the top 10 percent in the nation for spine surgery.
    • The Stroke Care Excellence Award
    • Winner of the Health Grades Distinguished Hospital Award for Patient Safety for the last three years in a row, we’re also one of the safest places to get care – among the top 5% in the country.

    UW Medicine includes Harborview Medical Center, UW Medical Center, Northwest Hospital & Medical Center, Valley Medical Center, UW Neighborhood Clinics, UW Physicians, UW School of Medicine and Airlift Northwest. 

    Northwest Hospital & Medical Center is a full-service, non-profit community hospital, offering comprehensive medical, surgical and therapeutic services.  With 281 beds, more than 1900 employees and a world-class medical staff, we provide innovative, technologically advanced care on a patient-friendly, easy-access campus just north of Seattle. 

    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. 

    As a UW Medicine - Northwest Hospital & Medical Center employee, you will enjoy generous benefits and work/life programs.

     

    We’re interested in learning more about you and appreciate your taking the time to apply online. UW Medicine - Northwest Hospital & Medical Center is committed to employing a diverse workforce. EOE

     

    UW Medicine – Northwest Hospital and Medical Center is an Affirmative Action/Equal Opportunity Employer. We welcome job applications from qualified individuals without regard to race, color, creed, religion, ancestry, national origin, age, sex, pregnancy, marital status, physical or mental disability, or any other protected characteristic. Minorities, women, disabled persons, and veterans are encouraged to apply

    Responsibilities

    • Analyzes variances: Analyzes patient accounts, EOBs (explanation of benefits) and insurance company contracts to determine the cause of variance between payments received versus expected (for example: true underpayment, posting error, late charges not billed, late charges not paid by insurance company?).
    • Processes corrections: For true underpayments, completes resubmission packets for additional payments; corrects contractual adjustments; changes DRGs to APDRGs in IMaCS or processes account overrides as appropriate to correct claims.
    • Creates detailed reports for management.
    • Assists Credit Balance Supervisor to determine if requested refunds are correct.
    • Assists follow-up team and cash posting to determine if accounts have been paid correctly and if contractual adjustments are correct.                                                                               AH123      

    Qualifications

    Education Background

    • Requires an associate degree in business, healthcare administration, or related field,
    • or the combination of college courses  plus extensive directly relevant experience, which, in the Director’s opinion, is the equivalent of an associate degree.

    Licensure, Registration, Certification

    • None required

    Special Training/Skills

    • Demonstrated ability to detect, verify, and utilize knowledge of systematic issues and trends.
    • Able to work independently and solve problems, as well as collaborate and share knowledge with team members.
    • Requires good skills in office computer applications, basic math, typing.
    • Requires demonstrated skills in patient accounting computer systems and related web sites (such as HBOC Star, IMaCS, e-Premis).
    • Demonstrated knowledge of third party billing and collection processes, cash application processes, managed care, Medicare, Medicaid and other government programs
    • Good analytical skills and attention to detail.

    Work Experience

    • Requires a minimum of 5 years of experience in the following areas (or directly related education can be substituted for experience, at the Director’s discretion):
    • Bookkeeping or accounting
    • Medical terminology and coding
    • Medical insurance processes
    • General office procedures
    • Medical posting, billing and/or patient account service, and problem resolution
    • Hospital billing practices
    • Electronic billing systems
    • Credit balance processing
    • Collector processing
    • Follow-up processing
    • Hospital contract agreements with third-party insurance companies and procedures to ensure accurate and timely payments
    • Third -party insurance company billing, corrections, payment methods
    • Medicare billing and collections requirements and processes

    Physical Abilities
    Physical Demand Level:  Sedentary


    In an 8-hour workday, must be able to-
    Lift / Carry 10 pounds occasionally

    As required, must be able to-
    Sit, Stand, Walk, Bend, Squat, Kneel, Crawl, Climb and Reach above shoulders
    Push and Pull
    Perform fine motor functions
    Must possess functional vision, hearing, and speech in order to communicate effectively with clients, client advocates, and staff.

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