Financial Access Specialist (Remote)
About The Position
UW Medicine Patient Financial Access Services’ Finance Access Clearance Team (FACT) coordinates insurance clearance for planned and unplanned inpatient admissions, outpatient surgery, clinic procedures, high-dollar infusion and radiology procedures, and other facility and professional services. The team obtains and verifies insurance coverage and benefits and values excellent customer service, timely responses, accurate authorization, and courteous call handling. The Financial Access Specialist provides insurance clearance support across services that may include emergency care, hospitalization, transportation, rehabilitation, therapies, nursing home placement, home health care and durable equipment, outpatient surgery, clinic visits, and specialized procedures. The role may also involve verifying L&I, crime-victim, and other coverage. The position is fully remote and includes on-the-job training.
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.
- Contact referring providers to obtain referrals or initiate authorization.
- Prepare fee estimates upon request from Patient Care Consultants and review payment options with patients.
- Call patients to explain limited medical benefits and out-of-pocket costs, and prepare a Notice of Non-Coverage form for patient signature.
- Collect payments and process them using the EPIC cash drawer.
- Provide prompt and courteous insurance clearance service to internal and external customers.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
