UW Medicine - Northwest Hospital & Medical Center

  • Patient Account Representative II - Insurance Follow- up

    Posted Date 4 weeks ago(4 weeks ago)
    ID
    2018-8394
    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

    • Billing:  Working collaboratively with others, performs medical billing functions to third party payers.  Reviews itemized bills to verify accuracy and completeness of charges and codes.  Operates hospital’s electronic billing systems and interacts with third party electronic billing systems; navigates through systems to find information.
    • Third-Party Follow-up and A/R (Payment) Posting: Actively follows-up with and coordinates payments from third party payers. Ensures that all third-party and self-pay payments, adjustments, and denials are posted to facilitate timely and accurate management of A/R.
    • Customer Service:   Answers patient’s questions concerning bills or payments, and resolves issues effectively.
    • Credit Balance.  Completes credit balance.
    • Medicare Report Preparation:  Prepares annual Medicare bad debt cost report and quarterly Medicare credit balance report.
    • Acts as Expert Resource: Troubleshoots problems; assists and trains less-experience staff members.   Makes suggestions/recommendations for process improvements.
    • Researches and resolves issues: Researches denied or incomplete claims. Investigates codes for which insurance companies disallow reimbursement.

    Qualifications

    Education Background

    • Requires, at a minimum, a high school diploma or GED equivalent.

    Licensure, Registration, Certification

    • None required

    Special Training/Skills

    • Able to work independently and solve problems, as well as collaborate and share knowledge with team members.
    • Requires good skills in office computer applications (especially Excel), basic math, typing, 10-key by touch.
    • Requires knowledge of 3rd-party insurance and government program payment methods.
    • Requires good attention to detail.

    Work Experience

    • Requires at least 1-2 years experience (or directly related education can be substituted for experience) in:
    • 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

    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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