Financial Access Specialist Lead

University of Washington; United States; Hybrid; USD 55,000 - 78,000; Full time

Job summary

UW Medicine seeks a Financial Access Specialist Lead to supervise insurance clearance operations within the FACT team, training staff, assigning tasks, and ensuring accuracy and payer requirements. This role oversees insurance clearance for inpatient admissions, outpatient surgeries, clinic procedures, high-cost infusions, and radiology services, with a mix of remote and on-site duties.

The position reports to the FAS Supervisor and requires experience in a medical office setting and healthcare

Qualifications

• High School diploma or GED certificate.
• Three years of experience in a medical office setting.
• Equivalent combinations of education and experience may substitute for stated requirements.

Responsibilities

• Train, orient, and support new Financial Access Specialists; assist in candidate interviews
• Review and ensure accuracy of staff work while ensuring compliance with procedures and payer requirements
• Coordinate and obtain insurance authorizations; verify eligibility and benefits in Epic
• Document case progress and authorization status in Epic; provide updates to internal teams
• Assist uninsured patients with Medicaid/Charity screenings and explain financial assistance options
• Provide cost estimates and discuss payment options with patients
• Collect and process patient payments using Epic’s cash drawer
• Contact patients regarding benefits coverage and potential out-of-pocket costs
• Complete and follow up on Notice of Non-Coverage forms and missing referrals/authorizations
• Participate in special projects and recommend policy or workflow improvements
• Stay up to date with hospital practices and payer guidelines through ongoing education

Education

High School diploma or GED certificate

Job description

Job Description

UW Medicine Patient Financial Access Services - Finance Access Clearance Team (FACT) has an outstanding opportunity for a Financial Access Specialist Lead.

Work Schedule

• 100% FTE (40 hours per week)
• Day Shift
• Monday - Friday, 8:30am - 4:30pm
• Primarily 100% remote with occasional on-site assignments at UWM based on operational or training needs

Department Description

• The FACT department coordinates the insurance clearance process for inpatient planned and unplanned admits, outpatient surgery, clinic procedures, high-dollar infusion, and/or radiology high-dollar procedures. This includes various functions associated with obtaining and verifying insurance coverage and benefits for facility and professional services.
• Our team values excellent customer service, timely responses, accurate authorization, and courteous call processing.

Position Highlights

• Under the general direction of the FAS Supervisor, leads and supports Financial Access staff while performing core specialist duties.
• Responsibilities include assigning tasks, training new staff, monitoring performance, and resolving issues in coordination with the supervisor. Oversees insurance clearance for inpatient admissions, outpatient surgeries, clinic procedures, high-cost infusions, and radiology services.
• Areas of coverage 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.

Primary Job Responsibilities

• Train, orient, and support new Financial Access Specialists; assist in candidate interviews
• Review and ensure accuracy of staff work while ensuring compliance with procedures and payer requirements
• Coordinate and obtain insurance authorizations; verify eligibility and benefits in Epic
• Document case progress and authorization status in Epic; provide updates to internal teams
• Assist uninsured patients with Medicaid/Charity screenings and explain financial assistance options
• Provide cost estimates and discuss payment options with patients
• Collect and process patient payments using Epic’s cash drawer
• Contact patients regarding benefits coverage and potential out-of-pocket costs
• Complete and follow up on Notice of Non-Coverage forms and missing referrals/authorizations
• Participate in special projects and recommend policy or workflow improvements
• Stay up to date with hospital practices and payer guidelines through ongoing education

Requirements

• High School diploma or GED certificate
• Three years of experience in a medical office setting
• Equivalent combinations of education and experience may substitute for stated requirements

About UW Medicine – Where Your Impact Goes Further

UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. Our mission is to improve public health by advancing medical knowledge, providing outstanding primary and specialty care, and preparing the next generation of healthcare professionals.

Across UW Medicine, our 29,000+ employees work together with integrity and compassion to deliver the highest quality care and create a respectful, welcoming environment for every patient, family, student, and colleague.

UW Medicine includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, Airlift Northwest.

Compensation, Benefits and Position Details

Pay Range Minimum:

$26.38 hourly

Pay Range Maximum:

$37.73 hourly

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 UW MEDICINE – WHERE YOUR IMPACT GOES FURTHER

UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the publicby advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians,scientistsand other health professionals.

All acrossUW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family,studentand colleague is valued and honored.Nearly 29,000healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.

Our Commitment

The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81.

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

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.