Patient Estimate Analyst

University of Washington Medical Center

12d•$94,596 - $141,900•Remote

About The Position

UW MEDICINE ENTERPRISE REVENUE CYCLE has an outstanding opportunity for a PATIENT ESTIMATE ANALYST. WORK SCHEDULE 100% FTE Days 100% Remote POSITION HIGHLIGHTS The Patient Estimate Analyst plays a critical role in supporting price transparency and improving patient financial experience by managing the systems and tools that generate accurate cost estimates for hospital and professional services DEPARTMENT DESCRIPTION UW Medicine Enterprise Revenue Cycle (ERC) is accountable for Revenue Cycle functions as it spans across UW Medicine.

Requirements

Bachelor’s Degree in Business, Finance, Healthcare, or related. Minimum years of experience required is 4-8 years. Equivalent experience may substitute for degree
Coding credentials CCS, CPC, COC, RHIT, or RHIA – if not credentialed, must be credentialed within one (1) year of start date
Four years of experience in revenue cycle operations, charge description master (CDM) maintenance, pricing or Epic Configuration
Proficiency in Epic Resolute (HB/PB) and/or Epic Price Estimator tools preferred
Epic Systems Proficiency: Strong proficiency in Epic Resolute (Hospital Billing/Professional Billing) and/or Epic Price Estimator tools preferred
Analytical Expertise: Excellent analytical, critical thinking, and problem-solving skills, with a keen eye for data validation
Revenue Cycle Knowledge: In-depth knowledge of revenue cycle operations within healthcare settings, including both hospital and physician billing environments and accuracy
Regulatory Insight: Solid understanding of CMS regulations, the No Surprises Act, and pricing transparency requirements, with the ability to interpret and apply complex healthcare guidelines and compliance standards
Attention to Detail: Highly detail-oriented and capable of managing tasks independently while maintaining precision and consistency
Data Proficiency: Proficient in analyzing financial, coding, billing, and reimbursement data to support business decisions and compliance initiatives
Equivalent experience may substitute for some requirements

Nice To Haves

Proficiency in Epic Resolute (HB/PB) and/or Epic Price Estimator tools preferred
Epic Systems Proficiency: Strong proficiency in Epic Resolute (Hospital Billing/Professional Billing) and/or Epic Price Estimator tools preferred

Responsibilities

Design, configure, test, and maintain patient estimate templates and workflows used to generate cost estimates for services across hospital and physician practices
Analyze clinical documentation, charge capture practices, and historical claims data to validate pricing and reimbursement accuracy
Perform routine audits and updates following pricing changes, chargemaster updates, or Epic upgrades
Analyze variances between estimated and actual charges, identifying root causes and proposing corrective actions
Validate CPT and HCPCS assignments against clinical documentation, ensuring that templates represent the correct services
Support training and documentation efforts related to estimation tools and workflow
Maintain compliance Federal and Washington State pricing transparency requirements
Assist in maintaining alignment between the patient estimator and the organizations online price transparency tools
Partner with Patient Access, Financial Counseling, and Clinical Departments to ensure estimates meet operational needs and patient expectations
Participate in Epic enhancement projects, upgrades, and revenue cycle optimization initiatives