Sign In
 [New User? Sign Up]

Insurance Follow-Up Coding Denials Specialist

University of Washington


Location:
Seattle, WA 98104
Date:
12/27/2022
2022-12-272023-02-05
Categories:
  • Healthcare
  • Customer Service
  • Accounting
University of Washington
  •  
  • Save Ad
  • Email Friend
  • Print

Job Details

Insurance Follow-Up Coding Denials Specialist

Req #: 214897
Department: Faculty Practice Plan Services (FPPS)
Job Location: Remote/Hybrid
Posting Date: 12/23/2022 
Closing Info: Open Until Filled 
Salary: $3433.00 - $4909.00 per month 
Other Compensation:  
Union Position: Yes
Shift: First Shift 

WHO WE ARE:


Faculty Practice Plan Services (University of Washington Physicians) is the 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, UW Neighborhood Clinics, the UW School of Medicine, Valley Medical Center, and Airlift Northwest. FPPS members also practice at the Seattle Cancer Care Alliance, a partnership of UW Medicine, Fred Hutchinson Cancer Research Center, and Seattle Childrens Hospital.

WHAT WERE LOOKING FOR:


Faculty Practice Plane Services (FPPS) has an outstanding opportunity for a Insurance Follow-Up Coding Denials Specialist.

The Insurance Follow-Up Coding Denials Specialist (Patient Account Representative 2) is responsible for the optimal payment of coding related denied claims from commercial insurers, managed care plans, and state and federal plans and other guarantors 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.

WHAT YOU BRING:


REQUIRED

High School graduation or equivalent AND two years of experience in patient accounting, customer service, or a related office environment OR equivalent education/experience.


DESIRED

2 years with CPT procedures codes, medical terminology and billing procedures.

WHAT YOULL BE DOING:


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.
Take accountability for meeting productivity standards and department required quality measures.  Work collaboratively with UW Medicine and UWP departments including Compliance, Charge Capture, Patient Accounts & Inquiry, Claim, Payment & Credit,       Payor Relations, and Physician Services.
Actively seeks and recommends process improvement opportunities through daily work.
Perform other duties, as assigned.
Identify payor trends to recommend charge review, claim or follow-up edits in Epic
Work all coding denials from all payor groups within Insurance Follow-Up Workqueues
Have an inherent understanding of Insurance Follow-Up, along with billing and coding guidelines
Understand which editing structures Payors utilize (ex: McKesson vs CCI vs Payor Specific), and have knowledge of Payor Tools and/or EncoderPro to verify to assess denials and appropriately identify the next step(s) required
If applicable, make coding updates based on payor policy after reviewing provider notes

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.

Committed to attracting and retaining a diverse staff, the University of Washington will honor your experiences, perspectives and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.

The University of Washington is a leader in environmental stewardship & sustainability, and committed to becoming climate neutral.

The University of Washington is an affirmative action and equal opportunity employer. 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 dso@uw.edu.

COVID-19 VACCINATION REQUIREMENT

Employees of the University of Washington are required to be fully vaccinated against COVID-19 unless a medical or religious exemption is approved. Being fully vaccinated means that an individual is at least two weeks past their final dose of an authorized COVID-19 vaccine regimen. As a condition of employment, newly hired employees will be required to provide proof of their COVID-19 vaccination. View the Final candidate guide to COVID-19 vaccination requirement webpage for information about the medical or religious exemption process for final candidates.


Back to search results
Powered ByLogo