Insurance Claims Specialist
2 days ago
UW Medicine Faculty Practice Plan Services (FPPS) has an exciting opportunity for a full-time, day shift, Insurance Follow-up Specialist (Patient Account Representative 2).
Job SummaryThis position 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.
Key Responsibilities- Conduct 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.
High School graduation or equivalent AND three years of experience in patient accounting, customer service, or a related office environment OR equivalent education/experience.
About UW MedicineUW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. Our 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.
We are committed to creating a respectful, welcoming environment where every patient, family, student and colleague is valued and honored.
UW Medicine 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.
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