Patient Account Lead - Billing, Appeals & Training

ACHE; Northern (KY); Hybrid; USD 34,000 - 51,000; Full time

Job summary

UW Medicine’s Patient Financial Services is seeking a Patient Account Representative Lead. The role supports standard setting, billing processes and staff training within a 40-hour day shift.

Responsibilities include coordinating with supervisors, handling appeals, and maintaining knowledge of sponsor requirements across federal and non-federal programs. Regular collaboration with UW Medicine departments is required.

Qualifications

• High School graduation or equivalent AND three years of experience in patient accounting, customer service, or a related office environment.
• Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration.

Responsibilities

• Assist in the establishment of standards, policies, and procedures.
• Assist with development and maintenance of billing and follow up reference documents.
• Respond satisfactorily and timely to requests and questions.
• Coordinate with supervisor in assigning, reviewing and monitoring quality and timeliness of work and identifying training needs of Patient Account Representatives.
• Assist in orienting and training new staff and retraining current staff.
• Analyze and review appeals and provide feedback to Patient Account Representatives.
• Participate in the PFS closing rotation.
• Participate in special projects.
• Serve as a Super User for system upgrades and changes.
• Assist Patient Account Representatives with obtaining information necessary to obtain retroactive authorizations including letters of medical necessity.
• Understand and interpret complex requirements and be able to prioritize and manage updates from multiple sponsors, both federal and non-federal. Maintains up-to-date knowledge of requirements.
• Work collaboratively with other UW Medicine Departments.

Education

High School diploma

Job description

UW Medicine’s Patient Financial Services is seeking a Patient Account Representative Lead. The role supports standard setting, billing processes and staff training within a 40-hour day shift.

Responsibilities include coordinating with supervisors, handling appeals, and maintaining knowledge of sponsor requirements across federal and non-federal programs. Regular collaboration with UW Medicine departments is required.