• Insurance Follow-Up Specialist, Medicare

    University of Washington (Seattle, WA)


    Job Description

    UW Medicine Faculty Practice Plan Services (FPPS)** has an outstanding opportunity for an **Insurance Follow-Up Specialist** to join our **Medicare** team **.

    WORK SCHEDULE

    + 100% FTE

    + Mondays - Fridays

    + 100% Remote

    POSITION HIGHLIGHTS

    The **Insurance Follow-Up Specialist, Medicare** is responsible for the optimal payment of claims from Medicare through work queues throughout the Revenue Cycle, including but not limited to Follow-up, Claim Edit, Charge Review, Account, Router Review, Retro Review and Case Rate.

    PRIMARY JOB RESPONSIBILITIES

    + Conduct timely and accurate work with the goal of resolving outstanding claims quickly and maximizing appropriate revenue.

    + Accurately decipher denial reason and decides follow-up steps utilizing the Epic billing system by analyzing rejection issues.

    + Identify and resolve payor specific coding issues and provide feedback to Coding and Charge Capture team as appropriate.

    + Display sound judgment in choosing the most efficient and effective method of follow-up (includes appealing denials, taking adjustments, e-mail, payor websites and telephone inquiries).

    + Effectively communicate verbally and in writing with payers to bring resolution to claims as quickly as possible

    + Keep current with payor updates and policies to assist in payment of claims.

    + Document clear and concise narrative using smartphrases in Epic of steps taken to facilitate resolution of outstanding claims/issues.

    MINIMUM REQUIREMENTS:

    + High School graduation or equivalentANDtwo years of experience in a related office environment

    + Equivalent education/experience may be considered.

    DESIRED:

    + Experience with bookkeeping or medical billing.

    + Experience reviewing CPT and/or ICD 9/10 codes

    **UW Medicine Faculty Practice Plan Services (FPPS)** supports UW Physicians (UWP), a practice group for more than 3,000 physicians and other healthcare professionals associated with UW Medicine. UW Medicine includes Harborview Medical Center, UW Medical Center - Montlake, UW Neighborhood Clinics, UW Medical Center - Northwest, the UW School of Medicine, Valley Medical Center, and Airlift Northwest. UWP members also practice at the Seattle Cancer Care Alliance, a partnership of UW Medicine, Fred Hutchinson Cancer Research Center, and Seattle Children’s Hospital.

     

    Compensation, Benefits and Position Details

    Pay Range Minimum:

    $47,724.00 annual

    Pay Range Maximum:

    $68,244.00 annual

    Other Compensation:

    -

    Benefits:

    For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/

    Shift:

    First Shift (United States of America)

     

    Temporary or Regular?

     

    This is a regular position

    FTE (Full-Time Equivalent):

    100.00%

    Union/Bargaining Unit:

    SEIU Local 925 Nonsupervisory

     

    About the UW

     

    Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world.

     

    UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.

     

    Our Commitment

     

    The University of Washington is proud to be an affirmative action and equal opportunity employer (https://hr.uw.edu/eoaa/) . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information.

     

    To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or [email protected] .

     

    Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (https://app.leg.wa.gov/RCW/default.aspx?cite=28B.112.080) .

     

    University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.