Washington University is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity or expression, national origin, genetic information, disability, or protected veteran status.
Responsible for follow-up on insurance billing and collection activities, verifying accuracy and completeness of claims, contacting insurance companies as well as other related duties to expedite payments from various Medicaid and Medicare payers for physician services.
PRIMARY DUTIES AND RESPONSIBILITIES:
Performs collection follow-up duties for third party payers to ensure timely and accurate payment of physician charges.
Review invoices, correspondence and remittances for rejections and verification of accuracy.
Utilizes the payer websites/Emdeon.
Consistently have no invoices left in the DRT fsc monthly and no department responded MTC’s more than three days old in the ETM view.
Consistently meets the Quality Assurance (QA) standard of 95% as established within the department.
Consistently meets the productivity standard of working 60 invoices a day as established within the department.
Interacts with clinical department staff to discuss issues.
Sorts, prepares, distributes, scans mail/correspondence and delivers/routes to the appropriate PBS area and/or clinical department.
Other duties as assigned by the manager and/or supervisor. Assist with special projects.
Department Name/Job Location:
This position is in the WU Physicians Billing Services (PBS) department. This position is at the Medical Campus.
Equivalent of High School diploma with 2 to 3 years of related experience in bookkeeping/accounting and/or medical collection setting.
Experience with Epic.
2 - 3 years of experience in a health care business environment or accounts receivable management experience.
Familiar with ICD10 and CPT coding.
Ability to meet the established productivity and quality assurance standards to ensure effective collections and claim resolution.
This position is full-time and works approximately 40 hours per week.
Please attach a copy of your most current signed performance evaluation (completed within the last 18 months) to your online account. If you have not received a performance evaluation, you may provide two current signed letters of recommendation (written within the last 18 months), preferably to include one letter from either a current or recent former supervisor. To attach these documents, go to: My Career Tools, Add Attachment, Attachment Type – Performance Reviews or Letters of Recommendation.
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. Current employees applying for a new position within the university may be subject to this requirement. The screenings will include a criminal background check and, as applicable for the position, other background checks, drug screen, employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.
The hiring range for this position is $15.85 - $19.43 per hour.
Washington University in St. Louis, a medium-sized, independent university, is dedicated to challenging its faculty and students alike to seek new knowledge and greater understanding of an ever-changing, multicultural world. The University offers more than 90 programs and almost 1,500 courses leading to bachelor's, master's and doctoral degrees in a broad spectrum of traditional and interdisciplinary fields, with additional opportunities for minor concentrations and individualized programs. The faculty is composed of scholars, scientists, artists and members of the learned professions. They serve society by teaching; by adding to the store of human art, creativity, understanding, and wisdom; and by providing direct services, such as health care.