Financial Access Specialist (Remote)

University of Washington•Seattle, WA

1d•Remote

About The Position

UW Medicine Patient Financial Access Services’ Urgent ADT and Pre Registration Finance Access Clearance Team (FACT) coordinates insurance clearance for planned and unplanned inpatient admissions, outpatient surgery, clinic procedures, high-dollar infusions and radiology procedures. The team also obtains and verifies insurance coverage and benefits for facility and professional services. The role provides prompt, courteous insurance clearance service to internal and external customers, with a focus on excellent communication, timely responses, accurate authorizations and courteous call handling. Areas of coverage may include emergency services, inpatient hospitalization, transportation, rehabilitation, therapies, nursing home placement, home health care and durable equipment, outpatient surgeries, clinical visits and specialized procedures. The role also verifies L&I, crime victims and other coverages. The position is fully remote and regular, at 100% FTE (40 hours per week), Monday through Friday, 8:30 a.m. to 5:00 p.m., day shift.

Requirements

High school diploma or GED certificate.
One year of experience in a medical office setting.
An equivalent combination of education and experience may substitute for the stated requirements.

Responsibilities

Participate in on-the-job training to learn the insurance clearance process and functions for obtaining and verifying coverage and benefits for facility and professional services.
Review scheduled appointments through the patient work queue and obtain insurance authorizations through assigned payer administrators.
Verify and document patient eligibility and benefits, and document progress in EPIC auth/cert and REG.
Refer uninsured patients for Medicaid or charity eligibility screening.
Call referring providers to obtain referrals or initiate authorization.
Prepare fee estimates upon request from Patient Care Consultants and review payment options with patients.
Collect payments and process them using the cash drawer in EPIC.
Call patients to explain limited medical benefits and out-of-pocket costs, and prepare Notice of Non-Coverage forms for patient signature.