Financial Access Specialist 2

Job Description

UW Medicine Patient Financial Access Services – Finance Access Clearance Team (FACT)

has an outstanding opportunity for a Financial Access Specialist 2 .

WORK SCHEDULE

• 100% FTE (40 hours per week)
• Monday - Friday; 8:30am - 5:00pm
• Day Shift
• 100% Remote Position

DEPARTMENT DESCRIPTION

• The FACT department coordinates the insurance clearance process for Inpatient planned and unplanned admits, for Outpatient Surgery, Clinic Procedures, high dollar Infusion, and/or Radiology high dollar Procedures, as well as, various functions associated with obtaining and verifying the insurance coverage and benefits for facility and professional services.
• Our team values excellent customer service, timely response, accurate authorization, and courteous processing of calls.

POSITION HIGHLIGHTS

• Provide prompt and courteous insurance clearance service using your excellent communication skills with internal and external customers
• Areas of coverage may include: emergency services, inpatient hospitalization, transportation, rehab, therapies, nursing home placement, home health care/durable equipment, outpatient surgeries, clinical visits, and specialized procedures; also verifies L&I, crime victims and other coverages

PRIMARY JOB RESPONSIBILITIES

• Participate in on-the-job training to learn to coordinate the insurance clearance process, as well as various functions associated with obtaining and verifying the insurance coverage and benefits for facility and professional services
• Review scheduled appointments through patient work queue, and obtain insurance authorizations through assigned payer administrators
• Verify/document patient eligibility and benefits; document progress in EPIC auth/cert and REG
• Refer uninsured patients for Medicaid/Charity eligibility screening; call referring providers to obtain referrals or to initiate authorization
• Prepare estimates of fees upon request from Patient Care Consultants,...