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.
This position is full-time and works approximately 40 hours per week.
Department Name/Job Location:
This position is in the Department of Pathology and Immunology. This position is for the Medical School Campus.
Position is responsible for acting as an accounts receivable floater, performing insurance and advance billing & collection activities. Position will be responsible for third party and appeals related duties depending on the need. Position will also resolve claim edits and electronic rejections and follow-up on client billing services.
PRIMARY DUTIES AND RESPONSIBILITIES:
Perform collection follow up duties for third party payers to ensure timely and accurate payment of pathology services. Review invoices, correspondence and remittances for accuracy of posting of payments & rejections. Utilize payer websites to confirm claim receipt and claim status.
Review medical appeal rejections, investigate & problem solve reimbursement issues. Determine if formal appeal is needed, if claim needs correction and/or if the payer needs to be contacted for resolution. Submit formal medical appeals as needed.
Resolve claim edits and electronic claims rejections to ensure timely and accurate submission of claims.
Perform follow-up activities for client billing accounts.
Assist as backup support for third party, appeals, and mail run staff during peak vacation times and/or illnesses.
Assist with special projects and other duties as assigned.
Equivalent of High School diploma with 3 to 5 years of previous billing or insurance experience required.
2 years of college or business school preferred.
Working knowledge of Microsoft products to include Word, intermediate skills in Excel, Outlook, as well as general office equipment.
Ability to work independently with strong attention to detail; able to prioritize and maintain exceptional organizational skills.
Precise follow-up skills.
Effective oral & written communication skills.
Working knowledge of medical terminology, ICD-10 & CPT coding.
In depth knowledge of medical billing, insurance rejections/appeals and collection processes.
The hiring range for this position is $18.09 - $22.61 per hour.
-Retirement Savings Plan -22 vacation days -8 Paid Holidays -Sick Time -Tuition benefits for employee, spouse and dependent children -Free Metro Link/ Bus pass -Free Life Insurance -Health, Dental, Vision -Health Savings Accounts (HSA) -Long Term Disability Insurance -Flex Spending Plan -Other Benefits
Med School HR website (medschoolhr.wustl.edu)
Internal Applicant Instruction:
This position is grade C08.
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.
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 interdisciplin...ary 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.