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 Otolaryngology. This position is for the Medical School Campus.
Provides support to Appeals team by assisting with appeals activities, verifying accuracy and completeness of claims, contacting insurance companies, and other related duties to expedite payments from various payers. Assist in charge review, resolve claim edits, and charge corrections.
PRIMARY DUTIES AND RESPONSIBILITIES:
Respond to Medicare Pre-Pay Letter in a timely and accurate manner, providing records and documentation as requested.
Manage appealed claims and calling insurance companies as needed to coordinate claim resolution to ensure prompt and accurate payment.
Utilize the payer websites, where available to investigate Claim/Appeal Status.
Identify payer trends and internal processing challenges.
Resolve claims edits on a daily basis and process charge corrections as needed to ensure charges go to payers accurately.
Assist in charge review work que.
Assist with special projects and other duties 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.
Knowledge of medical terminology, extensive phone experience, with demonstrated professional phone etiquette, experience in a managed care setting, experience with EPIC and familiarity with WUSM services and programs.
Coding experience is strongly preferred.
Working knowledge of general office equipment and computers; must have excellent organization and communication skills; ability to appropriately handle confidential information; must be able to work independently prioritizing multiple tasks; capable of working in a fast-paced environment; capable of handling stressful situations; and possess strong decision-making skills and ENT knowledge is preferred.
Applicant Special Instructions:
Fast-paced office space with heavy volume of telephone calls; high stress caused by work deadlines, periodic crisis management; and insurance, patient/family, and physician telephone interaction
The hiring range for this position is $18.45 - $23.06 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 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.