Req #:	170565
Department:	FINANCIAL ACCESS CLEARANCE SERVICES
Job Location:	UW Medical Center - Montlake
Posting Date:	10/18/2019
Closing Info:	Open Until Filled
Salary:	$3,576 to $4,796 per month
Union Position:	Yes
Shift:	First Shift
Notes:	This position provides opportunities to work in a fast-paced, challenging, diverse and rewarding environment. As an employee you will enjoy generous benefits and work/life programs. For detailed information on Benefits for this position, click here.

UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals.  UW Medicine owns or operates Harborview Medical Center, Northwest Hospital & Medical Center, Valley Medical Center, and UW Medical Center, a network of UW Medicine Neighborhood Clinics that provide primary care, UW Physicians, UW School of Medicine, Airlift Northwest, and other owned, operated or affiliated entities as appropriate. In addition, UW Medicine shares in the ownership and governance of Children’s University Medical Group and Seattle Cancer Care Alliance a partnership among UW Medicine, Fred Hutchinson Cancer Research, and Seattle Children’s.

UW Medicine Financial Access Clearance Team Services Department (FACT): This position will be located at the Sandpoint Non-Seattle Campus (within Magnuson Park). However, depending on operational needs, work station locations may also include any of the following UWM Campuses; Harborview Medical Center (HMC), University of Washington Medical Center (UWMC) or other University of Washington Medicine (UWM) organization non-campus locations within the FACT department.

The Financial Access Specialist 2 (FAS-2) will, under general supervision, coordinate the insurance clearance process for Inpatient planned and unplanned admits, for Outpatient Surgery, Clinic Procedures, high dollar Infusion, and/or Radiology high dollar Procedures, as well as, various functions associated with obtaining and verifying the insurance coverage and benefits for facility and professional services, which may include emergency services, inpatient hospitalization, transportation, rehab, therapies, nursing home placement, home health care/durable equipment, outpatient surgeries, clinical visits, and specialized procedures; also verifies L&I, Crime Victims and other coverages.

Performs the various functions associated with obtaining and verifying the insurance coverage and benefits for facility and professional services , which may include emergency services, inpatient hospitalization, transportation, rehab, therapies, nursing home placement, home health care/durable equipment, outpatient surgeries, clinical visits, and specialized procedures; also verifies L&I, Crime Victims and other coverages.

Under general supervision, the FAS-2 will:

Review scheduled appointments through patient work queue

Obtain insurance authorizations through assigned payer administrators

Verifying/document patients eligibility and benefits in Epic auth/cert

Document progress of each case in Epic auth/cert

Refer uninsured patients for Medicaid/Charity eligibility screening

Prepare estimates of fees upon request from Patient Care Consultants

Review payment options with patients

Keeps daily productivity log as assigned

Provides internal customers on-going status of inpatient/outpatient authorization by payer

Collect payments

Process payments using cash drawer in Epic

Call patients to provide overview of limited medical benefits and Out-of-Pocket cost

Prepare Notice of Non-Coverage form for patient signature

Call referring providers to obtain referrals or to initiate authorization

Provides internal customers on-going status of inpatient/outpatient authorization from the payer for surgery

Coordinates and explains options to patients related to potential financial responsibilities including charity/financial assistance, possible Medicaid eligibility, financial implications of proceeding with or without authorizations, and in and out-of-network ramifications

Confer with Financial Clearance supervisor if coverage status unclear or other information unclear.

Interpret hospital's policies, procedures and services to patients, patient representatives, inter/intra-hospital departments and community facilities.

Ensures patient demographic information is accurate in EPIC and REG, through patient contact or insurance verification information.

Verify eligibility of patient’s insurance and document information.

Verify patient benefits and document information.

Verify or obtain an referral when it is required, prior to the service   

REQUIREMENTS:

High School diploma or GED certificate plus two years of experience in a medical office setting; OR, equivalent education/experience.