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.
Performs comprehensive financial counseling services for patients with billing issues for pre and post service. Anticipates patient/customer needs and performs the best possible job satisfying those patient/customer needs. Serves as a liaison between patients and their insurance carrier(s). Serves as a liaison between Washington University Physicians Billing Services and affiliated Hospital Systems to resolve patient account issues. Handles discounts, adjustments and patient registration updates in the GE system. Establishes appropriate budget plans for patients upon request. Collects payments for both pre service and services rendered when appropriate. Make daily deposits using the Financial Information System (FIS). Interacts routinely with physicians, clinical/technical staff, department administrators and personnel. Back up the Patient Services area with incoming patient calls.
PRIMARY DUTIES & RESPONSIBILITIES:
Performs financial counseling services by working with patients and appropriate entities to resolve billing issues. This may include physician charges as well as hospital-related charges.
Assist consumers/patients with applying for insurance through the Healthcare Exchange.
Analyzes patient billing inquiries using the GE system to determine the correct course of action to resolve billing issues.
Contacts insurance carriers about patient billing questions and makes the appropriate updates/changes in the GE system including the application of adjustments/discounts to accounts when needed.
Establishes appropriate budget plans for patients upon request.
Works closely with departmental staff to resolve patient inquiries about services prior to being rendered.
Validates charges for specific services and makes appropriate changes as needed.
Answer MTC request for Certified Application Counseling and Pre-Service.
Reviews Explanation of Benefits (EOBs) for rejections, partial payments and patient responsibility amounts.
Supports Patient Services Unit in answering billing and collection questions.
Maximizes the collection of Self-pay revenues through efficient processes, sound collection policy and cost-effective contractual agreements with outside collection agencies and vendors.
Performs other duties as assigned.
Maintains working relationship with internal WUPBS management team, the Faculty Practice Plan, and clinical department personnel including business manager, front-end manager, division chiefs and department chairs.
Maintains external working relationships with other University departments and service contractors.
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.
Advanced degree desirable.
Thorough working knowledge of Third Party procedures, related systems and standards, and self-pay collections.
Strong written and verbal communication skills with the ability to interact with individuals at various levels.
Excellent working knowledge of GE applications.
Ability to manage multiple tasks, possess good organization and planning skills and possess the ability to work autonomously with little supervision.
PC software knowledge: Microsoft Excel, Access, Word and Adobe.
High School Degree and at least 5 years experience with Physician Accounts Receivable issues.
Overall healthcare experience with working knowledge of accounts receivable.
Department Name/Job Location:
This position is with Physicians Billing Service located on the Medical Campus.
The hiring range for this position is $18.09 - $22.61 per hour.
This position is full-time and works approximately 40 hours per week.
-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.