Financial Access Specialist Lead

University of Washington•Seattle, WA

1d•Onsite

About The Position

UW Medical Center Montlake’s Roosevelt Clinic Center for Reproductive Services has an outstanding opportunity for a Financial Access Specialist Lead. This position is part of the UW Medicine Patient Financial Access Services Department - Financial Access Clearance Team (FACT).

Requirements

High School diploma or GED certificate plus three years of experience in a medical office setting.
Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration.

Responsibilities

Participate in interviewing applicants and training and orienting new employees to department.
Review and correct the work performed by others for compliance with established procedures.
Monitor and evaluate policies and procedures; recommend changes as necessary.
Participate in and/or lead special project work.
Attend continuing education workshops and other training activities to keep up to date with current hospital practices and payer requirements.
Review scheduled appointments through patient work queue.
Obtain insurance authorizations through assigned payer administrators.
Verifying/document patients’ eligibility and benefits in Epic auth/cert.
Document progress of each case in Epic auth/cert.
Refer uninsured patients for Medicaid/Charity eligibility screening.
Prepare estimates of fees upon request from Patient Care Consultants.
Review payment options with patients.
Keeps daily productivity log as assigned.
Provides internal customers on-going status of inpatient/outpatient authorization by payor.
Collect payments.
Process payments using cash drawer in Epic.
Call patients to provide overview of limited medical benefits and Out-of-Pocket cost.
Prepare and/or facilitate the coordination of Notice of Non-Coverage forms for patient signature.
Call referring providers to obtain referrals or to initiate authorization.
Provides internal customers on-going status of inpatient/outpatient authorization from the payor for surgery.
Coordinates and explains options to patients related to potential financial responsibilities including Financial Assistance, possible Medicaid eligibility, financial implications of proceeding with or without authorizations, and in and out-of-network ramifications.
Confer with health services manager if coverage status is unclear or other information unclear.
Interpret hospital's policies, procedures and services to patients, Financial Access Specialists, inter/intra-hospital departments and community facilities.