INSURANCE FOLLOW-UP SPECIALIST (MEDICARE TEAM) - University of Washington

Req #: 240095 Department: FACULTY PRACTICE PLAN SERVICES (UWP) Posting Date: 10/23/2024 Closing Info: Open Until Filled Salary: $3,861 - $5,521 per month Shift: First Shift Notes: + Choose from multiple, top medical and dental insurance programs + Plan for your future with tax-deferred investing through the UW retirement options, Including PERS plans for qualifying job profiles + Enjoy generous vacation and sick leave policies and protect yourself and your family with life and long-term disability insurance. + Receive UPASS Benefits, which includes free public transportation in the Puget Sound region on participating transit services + Intermittent/Per-Diem Employees are eligible for Holiday and Vacation payFor detailed information on Benefits for this position, click here. (https://hr.uw.edu/benefits/wp-content/uploads/sites/3/2018/02/benefits-summary-classified-staff-greater-than-half-time-20220908\_a11y.pdf) **UW Medicine Faculty Practice Plan Services (FPPS)** has an outstanding opportunity for a **full-time, day shift, INSURANCE FOLLOW-UP SPECIALIST (Patient Account Representative 2).** **WORK SCHEDULE** + 40 hours per week + Day Shift + This position is Remote **POSITION HIGHLIGHTS** The Insurance Follow-up Specialist 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. **PRIMARY JOB RESPONSIBILITIES** + Conducts timely and accurate work with the goal of resolving outstanding claims quickly and maximizing appropriate revenue. + Accurately deciphers denial reason and decides follow-up steps utilizing the Epic billing system by analyzing rejection issues. + Identifies and resolves payor specific coding issues and provide feedback to Coding and Charge Capture team as appropriate. + Displays sound judgment in choosing the most efficient and effective method of follow-up, including appealing denials, taking adjustments, e-mail, payor websites and telephone inquiries. + Documents clear and concise narrative using smartphrases in Epic of steps taken to facilitate resolution of outstanding claims/issues. **REQUIRED POSITION QUALIFICATIONS** High School graduation or equivalent AND three years of experience in patient accounting, customer service, or a related office environmentORequivalent education/experience. **ABOUT FACULTY PRACTICE PLAN SERVICES** **UW Medicine Faculty Practice Plan Services (FPPS)** supports UW Physicians (UWP), a practice group for more than 3,000 physicians and other healthcare professionals associated with UW Medicine. UW Medicine includes Harborview Medical Center, UW Medical Center - Montlake, UW Primary Care Clinics, UW Medical Center - Northwest, 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. **Teamwork. Community. Opportunity.** Become part of our team. Join our mission to make life healthier for everyone in our community. **ABOUT UW MEDICINE - WHERE YOUR IMPACT GOES FURTHER** UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. 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.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. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. **Become part of our team. (https://www.uwmedicine.org/jobs)** Join our mission to make life healthier for everyone in our community. 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.