Insurance Follow-Up Coding Specialist

2 days ago

Seattle, Washington, United States University of Washington Full time
Job Title: Insurance Follow-Up Coding Specialist

Faculty Practice Plan Services (FPPS) has an outstanding opportunity for an Insurance Follow-Up Coding Specialist.

Job Summary:

The Insurance Follow-Up Coding Specialist is responsible for the optimal payment of coding related denied 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.

Key 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.
  • 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.
Requirements:
  • High School graduation or equivalent AND two years of experience in patient accounting, customer service, or a related office environment OR equivalent education/experience.
About Faculty Practice Plan Services:

UW Medicine Faculty Practice Plan Services (FPPS) supports UW Physicians (UWP), a practice group for more than 1,800 physicians and other healthcare professionals associated with UW Medicine.

UW Medicine includes Harborview Medical Center, UW Medical Center - Montlake, UW Neighborhood 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.

UW 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.

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