INSURANCE FOLLOW-UP SPECIALIST (PAR 2)

University of Washington; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated Insurance Follow-up Specialist to join their team. This full-time role focuses on optimizing claims payments from various insurers, ensuring timely resolutions, and maximizing revenue through effective follow-up strategies. You will work within a collaborative environment, utilizing advanced tools to tackle challenges and improve processes. Join a mission-driven organization committed to enhancing community health and making a meaningful impact in the lives of patients. If you are passionate about healthcare and excel in a dynamic setting, this opportunity is perfect for you.

Benefits

Medical Insurance

Dental Insurance

Retirement Plan Options

Generous Vacation Policy

Life Insurance

Long-term Disability Insurance

Free Public Transportation (UPASS)

Qualifications

• 3+ years of experience in patient accounting or customer service.
• Strong understanding of claims processing and follow-up.

Responsibilities

• Resolve outstanding claims quickly to maximize revenue.
• Utilize Epic to analyze and address denial reasons.

Skills

Patient Accounting

Customer Service

Claim Resolution

Epic Billing System

Education

High School Graduation or Equivalent

Tools

Epic

Job description

If you are using a screen reader and experience any difficulty accessing our web pages, please call 206-543-2544 or email UWHires and we will be happy to assist you.

Closing Info: To ensure consideration, Apply By 05/10/2025

Other Compensation:

Union Position: Yes

Shift: First Shift

Benefits: The University of Washington (UW) offers a wide range of benefits as part of your total compensation package.

1. Choose from top medical and dental insurance programs
2. Plan for your future with tax-deferred investing through the UW retirement options
3. Enjoy generous vacation and sick leave policies and protect yourself and your family with life and long-term disability insurance.
4. Receive UPASS Benefits which give free public transportation in the Puget Sound region w/ participating transit companies

For detailed information on Benefits for this position, click here.

UW Medicine Faculty Practice Plan Services (FPPS) has an outstanding opportunity for a full-time, day shift, INSURANCE FOLLOW-UP SPECIALIST (Patient Account Representative 2).

WORK SCHEDULE:

1. 40 hours per week
2. Day Shift
3. This position is Remote

POSITION HIGHLIGHTS:

The Insurance Follow-up Specialist is responsible for the optimal payment of 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:

1. Conducts timely and accurate work with the goal of resolving outstanding claims quickly and maximizing appropriate revenue.
2. Accurately deciphers denial reason and decides follow-up steps utilizing the Epic billing system by analyzing rejection issues.
3. Identifies and resolves payor specific coding issues and provide feedback to Coding and Charge Capture team as appropriate.
4. Displays sound judgment in choosing the most efficient and effective method of follow-up, including appealing denials, taking adjustments, e-mail, payor websites and telephone inquiries.
5. Documents clear and concise narrative using smartphrases in Epic of steps taken to facilitate resolution of outstanding claims/issues.

REQUIRED POSITION QUALIFICATIONS:

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

ABOUT FACULTY PRACTICE PLAN SERVICES:

UW Medicine Faculty Practice Plan Services (FPPS) supports UW Physicians (UWP), a practice group for more than 1,800 physicians and other healthcare professionals associated with UW Medicine. UW Medicine includes Harborview Medical Center, UW Medical Center - Montlake, UW Neighborhood Clinics, UW Medical Center - Northwest, the UW School of Medicine, Valley Medical Center, and Airlift Northwest. UWP members also practice at the Seattle Cancer Care Alliance, a partnership of UW Medicine, Fred Hutchinson Cancer Research Center, and Seattle Children’s Hospital.

Teamwork. Community. Opportunity. Become part of our team. Join our mission to make life healthier for everyone in our community.

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 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.

All across UW 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, student and colleague is valued and honored. Nearly 29,000 healthcare 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, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.

Become part of our team. Join our mission to make life healthier for everyone in our community.

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.

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.