Insurance Billing/Collections Assistant II (Pre-Arrival Team/Remote) - Program in Physical Therapy

About the position The Insurance Billing/Collections Assistant II position at the University of Washington is a vital role within the Pre-Arrival Team, focusing on the efficient management of insurance verification and authorization processes for therapy services. This remote position requires the assistant to ensure that all necessary insurance authorizations are secured, and that patient records are accurately maintained in the Epic EMR database. The role involves a variety of professional services aimed at maximizing reimbursement from all payers, which includes contacting insurance companies for benefit verification, pre-certification of therapy procedures, and ensuring that all documentation is complete and accurate. In this position, the assistant will be responsible for entering demographic and insurance information into patient medical records, verifying ICD-10 diagnosis applications, and maintaining open communication with providers and referring physicians. The assistant will also be tasked with documenting and notifying necessary parties of pre-certifications, as well as reviewing and reconciling patient and financial work queues. The role requires a proactive approach to problem-solving and the ability to work independently with minimal supervision, while also managing multiple tasks in a fast-paced environment. The ideal candidate will possess strong organizational skills, attention to detail, and excellent communication abilities, allowing them to effectively interact with various stakeholders, including patients, insurance companies, and healthcare providers. This position is essential for ensuring that therapy services are reviewed and completed efficiently, contributing to the overall success of the healthcare team.

Responsibilities

• Complete insurance verification and tracking of insurance authorizations.

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• Enter demographic and insurance/referral information into patient medical records.

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• Contact insurance companies for benefit verification and pre-certification of therapy procedures.

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• Notify coding staff for missing or inaccurate coded services.

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• Work with referring physician offices to provide updated orders.

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• Verify ICD-10 diagnosis application with review of Epic database for follow-up visits.

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• Collect data for internal/external requests.

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• Stay abreast of coding changes and attend applicable meetings to report results.

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• Obtain insurance information from patients and review medical records for accuracy.

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• Supply all documentation required during the pre-certification process to insurance companies.

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• Maintain open communication with providers and referring physicians.

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• Maintain a written log of all pre-certifications in process.

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• Document and notify necessary parties of pre-certification when received.

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• Review, follow-up, and reconcile pre-arrival, patient, and financial work queues.

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• Provide support to patient/office and pre-arrival processes when required.

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• Perform other duties as assigned.

Requirements

• High school diploma or equivalent high school certification.

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• Two to three years of related experience in bookkeeping/accounting and/or medical collection setting.

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• Working knowledge of clinical practice, coding, and insurance experience.

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• Experience interacting with managed care plans, insurance companies, and third-party payers.

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• Experience in ICD-10 and CPT codes.

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• Knowledge of medical terminology.

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• Ability to work independently with strong attention to detail.

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• Good organizational and critical thinking skills with the ability to solve simple and complex problems.

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• Ability to prioritize multiple tasks and handle busy phones in a fast-paced environment.

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• Excellent verbal, written, and interpersonal communication skills.

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• Proficient computer skills including Microsoft Office Suite, Internet, Epic HER, and E-mail.

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• Ability to handle patient medical records and billing information discreetly.

Nice-to-haves

• Experience in a healthcare setting.

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• Familiarity with electronic health records (EHR) systems other than Epic.

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• Knowledge of additional coding systems or billing software.

Benefits

• Up to 22 days of vacation, 10 recognized holidays, and sick time.

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• Competitive health insurance packages with priority appointments and lower copays/coinsurance.

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• Free Metro transit U-Pass for eligible employees.

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• Forgivable home loan of up to $12,500 for closing costs and down payment for homes in eligible neighborhoods.

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• Defined contribution (403(b)) Retirement Savings Plan with university contributions starting at 7%.

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• Wellness challenges, annual health screenings, mental health resources, mindfulness programs, and employee assistance program (EAP).

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• 4 weeks of caregiver leave to bond with a new child.

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• Tuition coverage for employees and their families, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years.

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