| INSURANCE FOLLOW-UP CODING AND DENIALS SPECIALIST | ||
| Req #:235217Department:FACULTY PRACTICE PLAN SERVICES (UWP)Job Location:Remote/HybridPosting Date:09/09/2024 Closing Info:Closes On 11/06/2024Salary:$3,861.00 – $5,521.00 per month Other Compensation: Union Position:YesShift:First Shift Benefits:Choose from top medical and dental insurance programs Plan for your future with tax-deferred investing through the UW retirement options Enjoy generous vacation and sick leave policies and protect yourself and your family with life and long-term disability insurance. Receive UPASS Benefits, which includes free public transportation in the Puget Sound region on participating transit services For detailed information on Benefits for this position, click here. | ||
Faculty Practice Plane Services (FPPS) has an outstanding opportunity for an Insurance Follow-Up Coding Denials Specialist. WORK SCHEDULE 40 hours per week Day Shift This position is Remote POSITION HIGHLIGHTS 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. 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. 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 REQUIRED POSITION QUALIFICATIONS High School graduation or equivalent AND two years of experience in patient accounting, customer service, or a related office environment OR |
