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. UW Medicine owns or operates Harborview Medical Center, Northwest Hospital & Medical Center, Valley Medical Center, and UW Medical Center, a network of UW Medicine Neighborhood Clinics that provide primary care, UW Physicians, UW School of Medicine, Airlift Northwest, and other owned, operated or affiliated entities as appropriate. In addition, UW Medicine shares in the ownership and governance of Children’s University Medical Group and Seattle Cancer Care Alliance a partnership among UW Medicine, Fred Hutchinson Cancer Research, and Seattle Children’s.
UW Medicine Financial Access Clearance Team Services Department (FACT): This Financial Access Manager position is primarily located at Sand Point, in the Magnuson Park Area, but job responsibilities may require location at other UWM Hospital and Non-Hospital Campus locations.
The Financial Access Manager: Under the direction of the Director of Financial Access, UW Medicine, this position is responsible for managing the daily operations of pre-service activities for the staff members designated in the manager's teams which would be delineated by the specific type of pre-service responsibilities being performed. This department is responsible for reviewing the eligibility and benefits, obtaining the authorizations for accounts at UW Medicine, and creating and collecting on cost estimates, specifically HMC and UWMC, in a wide variety of departments and thus plays a major role in the revenue / financial reimbursement received from these entities. This position is responsible to provide guidance, training, workload monitoring and productivity levels for the department and to frequently interface with the clinical managers of the departments for which the team provides pre-service responsibilities. Depending upon which teams are assigned to the manager, the manager's goal in overseeing these teams could including conducting prompt and accurate review of eligibility and benefits, obtaining pre-authorizations, pre-registering patients, creating cost estimates and collecting patient financial responsibilities. The manager will effectively implement process improvements and plan, organize, develop and manage the overall operations of the Pre-Service Teams in their purview including all activities relative to staffing, work assignments, hiring/termination, performance reviews, reporting of department progress / status with regards to a number of different metrics, orientation and professional development. This position develops and implements new processes, long-range plans and organization of policies and procedures to ensure smooth operations and quality customer service. The manager ensures department processes are accurate, efficient and provide patient privacy and confidentiality. This position is also responsible for working in conjunction with his / her peer in the Financial Access Clearance Team for the standardization and consistency between all teams, both on and offsite.
The Financial Access Manager is responsible for oversight of members of the Financial Access Clearance Team. Manages the operation of supervisors, leads and and pre-service staff. Coordinates Human Resource activity for staff including in-services and new employee orientation. Responsible for payroll tasks such as Kronos-related activities. Maintains vacation and sick time calendars. Interviews, hires, fires and institutes performance improvement plans for staff. Maintains and updates job descriptions based on job specifications. Conducts annual performance appraisals and recommends corrective action as necessary. Responsible for instituting and overseeing staff mentoring and training assurance. Creates, updates and oversees the creation and maintenance of department work instructions and policies, and other associated documentation. Handles complaints and grievances.
The Financial Access Manager will: •Maintains prompt and accurate pre-service responsibilities are completed including verification of eligibility and obtaining prior authorizations, creating cost estimates and collecting on estimated patient responsibilities, and pre-registering patients. •Ensures that services are provided in a timely, accurate, effective, and cost-efficient manner and in compliance with established departmental policies, procedures and practices. •Maintains broad range of knowledge and training to manage complex functions. •Establishes and implements quality assurance checks to ensure that the proper pre-service procedures and changes to procedures are in place and being used. •Establishes and maintains processes, procedures, and quality controls on all aspects of pre-service responsibilities to ensure the quality of information furnished to providers, stakeholders, payors, and patients. •Responsible for monitoring and reporting on a multitude of financial metrics related to department performance. •Compliance with Policies & Procedures •Develops and implements effective departmental and organizational policies and procedures; identifying the impact of all updates and additions on Pre-Service Staff and all affected Departments and/or persons. •Effectively coordinates and administers personnel policies and procedures in conjunction with selection, orientation, training, assignment and staffing, evaluation, discipline and discharge of staff members in compliance with state and federal labor laws. •Ensures that department policies, procedures and practices comply with UW Medicine policies and procedures. •Productivity Monitoring •Ensures appropriate staffing to meet departmental needs. •Manages the overall operations to ensure efficient operations and quality customer service. •Responds in timely and professional manner to all inquiries regarding all aspects of pre-service responsibilities. •Communication •Acts as liaison between other departments in Epic Revenue Cycle and clinical departments. •Uses internal and external resources to research the issue and identifies need for process improvement. •Responds effectively via phone, email, paper or other electronic communication. •Documents transactions thoroughly. •Participates on committees as required, requested. •Process Improvement •Uses internal and exResearch denials to ensure processes are providing appropriate reimbursement. •Completes special projects as assigned by Patient Access Services Director. Researches, plans and administers the process. Provides documentation of results. •Performs other appropriate duties as required in a competent, professional and courteous manner. •Conduct daily team huddles and also weekly and/or month team meetings as needed, with the objective of both running and improving the business. •Act upon direct report leave requests in accordance with the union contract/agreements, and also departmental policies and procedures. •Review and approve direct report timecards. •Maintain departmental personnel desk files. •Communicate changes in insurance eligibility & benefits, pre-authorization requirements, denial management recommendations, payer medical policies, pre-service appeals processes, payer contract statues and PCP referral requirements. •Resolve difficult issues surrounding third party payers, contracting, denials, billing, and authorization of services. •Review and resolve patient and customer complaints •Communicate and champion UW Medicine and dept. specific practices, missions, visions, policies and procedures, and also act as a positive change agent. •Attend education and trainings sessions as identified and assigned through the ERC Leadership Development Program •Attend and participate in dept. and cross-dept. meetings, Rapid Process Improvement Workshops and special projects. •Assist in the development of dept. policies and standard work operation procedures, to include maintaining up-to-date work instructions. •Prepare related reports as assigned. •Back-fill and do the work of Financial Access Specialists as needed. •Perform related duties as required
Requirements: •A Bachelor’s Degree in business administration, Science, Accounting, or other health related program and four years of Management, leadership, supervisory and program management skills demonstrated by continuing professional growth in Healthcare patient access, registration, financial counseling and clearance or other related healthcare experience or the equivalent education/experience.
Desired Qualifications: Medical Terminology with understanding of Clinical Terms, language, coding and basic healthcare clinical technology. Amiable people skills with the ability to understand and deal with a technical and professional work force. Ability to research multiple websites, periodicals or materials and/or interview knowledgeable staff to arrive at an appropriate resolution/solution to patient pre-registration, cost estimate creation and collection work and / or insurance situations. CHAA, CHAM or applicable professional certification is preferred.
Conditions of Employment: Office environment. May require off-hours work including evenings and weekends and travel to multiple locations in UW Medicine for meetings and/or training.
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.