Patient Account Representative 3

Job Description

PATIENT ACCOUNT REPRESENTATIVE 3

Req #: 229551 Department: SCHOOL OF DENTISTRY Job Location: Seattle Campus Posting Date: 01/03/2024 Closing Info: Closes On 01/24/2024 Salary: $3,940 - $5,640 per month Other Compensation: Union Position: Yes Shift: First Shift Benefits: As a UW employee, you will enjoy generous benefits and work/life programs. For a complete description of our benefits for this position, please visit our website, click here. As a UW employee, you have a unique opportunity to change lives on our campuses, in our state and around the world. UW employees offer their boundless energy, creative problem-solving skills and dedication to build stronger minds and a healthier world.
UW faculty and staff also enjoy outstanding benefits, professional growth opportunities and unique resources in an environment noted for diversity, intellectual excitement, artistic pursuits and natural beauty.
POSITION PURPOSE
The School of Dentistry Patient Revenue Cycle Office at the UW School of Dentistry supports dental/medical coding, billing and collection activity for patients treated by students and faculty at 13 dental clinics on campus and off-site clinics and medical centers. It is important to us that all our employees feel valued, respected, and included. Thus, we are very committed to the principles of diversity, equity, and inclusion. We employ a collaborative approach to supply excellent customer service to patients – and to provide training and coding/billing support to School of Dentistry students, faculty, and staff.
The Patient Account Representative 3 (NE S SEIU 925 Non Supv) position handles considering the status of the entire patient account and exercising judgment to decide right a course of action for resolution of the patient account in its entirety. Under general supervision of the Revenue Cycle Supervisor, this individual will prepare, submit, and follow up on HCFA and ADA claim forms sent via Electronic Data Interchange or paper; review Electronic Remittance Advice/Explanations of Benefits for payment/denial and take appropriate action; review patient accounts and prepare Accounts Receivable (A/R) transactions including processing payments, adjustments, and collections; access computer databases to obtain eligibility information; update patient demographic and financial information; communicate with School of Dentistry staff, physicians, students, patients and/or third party payers as required to obtain or verify billing information or payment, and answer questions/ resolve concerns; and document specific actions taken on individual accounts in the axiUm system. Patient accounts include those of a complex nature, such as case rate transplant patients, medically complex trauma care patients, oral rehabilitation patients, and patients under specific financial contracts.
DUTIES AND RESPONSIBILITIES

Review patient financial information to verify third-party payer requirements have been met.

Audit information on claim forms for accuracy and completeness; submit claims to third-party payers, including using a direct entry claims interface system.

Accurately prepare and input adjustments and payments to patient accounts according to third-party payer requirements and department procedures.

Access major payers' information on-line to obtain eligibility and claims processing information.

Answer incoming calls.

Respond to inquiries from patients, third-party payers and agencies, and other departments.

Analyze unpaid third-party claims to decide proper follow-up action to assure payment.

Analyze third-party reimbursement for accuracy.

Contact patients and payers by telephone to resolve account balances.

Process and post proper transactions to correct inaccurate account balances.

Prepare correspondence to address account concerns.

Analyze delinquent accounts on billing and payment history and decide proper follow-up procedure based on departmental guidelines.

Verify and post proper patient and insurance adjustments following department guidelines.

Prepare accounts for transmittal to collection agencies when department collection efforts are determined to be unsuccessful.

Post and reconcile daily remittances to patient accounts.

Resolve credit balances through allowances, adjustments, or refunds to patients or third-party payers.

Participate in regular meetings and efforts at process improvement.

Perform related duties as needed.
ADDITIONAL RESPONSIBILITIES

Maintains confidentiality of all medical, financial, or other sensitive materials and information in printed, electronic or verbal form, which may jeopardize the privacy of patients.

Accesses and uses the smallest necessary patient identifiable information to perform job responsibilities and duties and only for authorized purposes.

Working with HCFA/Medical and ADA/dental claim data elements.

Reviewing and interpreting insurance explanation of benefits and remittance advices.

Ability to document work activity on accounts - and communicate effectively with patients, co-workers, and providers using excellent verbal/written skills.

Working across diverse work groups.

Ability to adhere to and apply policies and procedures to work processes.
MINIMUM REQUIREMENTS
High School graduation or equivalent AND three years of experience in patient accounting, customer service, or a related office environment, OR equivalent education/experience.
ADDITIONAL REQUIREMENTS:

Communicate effectively with co-workers and patients.

Meet deadlines and departmental productivity standards.

Accurately prepare A/R payments, adjustments, and allowances.

Understand and apply policies and procedures to work processes.

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 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 [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 .

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