Req #: 235217

Department: FACULTY PRACTICE PLAN SERVICES (UWP)

Posting Date: 09/09/2024

Closing Info: Open Until Filled

Salary: $3,861.00 - $5,521.00 per month

Shift: First Shift

Notes:

• Choose from top medical and dental insurance programs

• Plan for your future with tax-deferred investing through the UW retirement options

• 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 servicesFor 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)

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

WORK SCHEDULE

• 40 hours per week

• Day Shift

• This position is Remote POSITION HIGHLIGHTS The Insurance Follow-Up Coding Denials Specialist (Patient Account Representative 2) 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. PRIMARY JOB 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.

• Display sound judgment in choosing the most efficient and effective method of follow-up (includes appealing denials, taking adjustments, e-mail, payor websites and telephone inquiries).

• 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. Work collaboratively with UW Medicine and UWP departments including Compliance, Charge Capture, Patient Accounts & Inquiry, Claim, Payment & Credit, Payor Relations, and Physician Services.

• Actively seeks and recommends process improvement opportunities through daily work.

• Perform other duties, as assigned.

• Identify payor trends to recommend charge review, claim or follow-up edits in Epic

• Work all coding denials from all payor groups within Insurance Follow-Up Workqueues

• Have an inherent understanding of Insurance Follow-Up, along with billing and coding guidelines

• Understand which editing structures Payors utilize (ex: McKesson vs CCI vs Payor Specific), and have knowledge of Payor Tools and/or EncoderPro to verify to assess denials and appropriately identify the next step(s) required

• If applicable, make coding updates based on payor policy after reviewing provider notes REQUIRED POSITION QUALIFICATIONS High School graduation or equivalent AND two 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 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. 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.