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. The schedule for this position will be finalized by the hiring manager, upon hire; however, the work week is Monday through Friday during normal business hours and the position will require flexibility to meet the needs of patients and the clinical practice.
This position leads work processes to ensure physician medical orders are correctly coded by determining the appropriate ICD-10 code for all new and follow up visits. Recognizes variance based on provider documentation and referring physician order received. Provides support to all Clinical Practice sites for back end billing duties to include accurate and timely processing of billing charges. Ensures thorough review and follow up of billing and collections, pre-arrival, patient and billing work queues in a fast paced outpatient therapy office. Coordinates and facilitates credentilaing process. Performs specialized duties with minimal supervision. Copying and faxing medical records as required.
PRIMARY DUTIES AND RESPONSIBILITIES:
Identifies, reviews, verifies, and completes all new and return patient visits that require an ICD-10 code via the Epic EHR system. Stays abreast of all ICD-10 coding updates and changes. Works with Manager to provide updates of code changes to providers and staff. Works with referring physician offices to secure updated orders as required. Provides validation of referral record accuracy.
Verifies accuracy and completeness of daily billing charges, monitors and finalizes outstanding issues held up in financial work queues while working to obtain maximum reimbursement for all site locations. Performs and assists with back end duties and charge review to include input, tracking, and verification of accurate and completed therapy billing charge transactions. Collects data for internal/external requests. Attend applicable meetings and report results.
Leads to ensure follow-up and reconciliation of pre-arrival, patient, and financial work queues has transpired. Provides support and assistance with review of data provided from Epic. Performs varied follow up processes to ensure therapy visits are reviewed and completed in a timely and efficient manner.
Maintains open communication with providers and referring physicians. Consistently follows up on delayed coding discrepancies and charge entry related issues that are still in process. Ensures maximum reimbursement with all payers and updates Epic EMR database. Attend applicable meetings and report results.
Assists in coordination of training, interoffice activities, programs, distribution of policy/procedure changes, and related administrative needs in conjunction with manager.
Coordinates and facilitates all aspects of Medicare/WUPN/BJC/etc. credentialing of new and existing faculty/staff/fellows/residents.
Other duties as assigned to include serving as back up support for Pre-Arrival and Accounts Receivable staff during peak times, vacations, and illnesses.
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 clinical practice.
Demonstrated organization and leadership.
Must possess excellent verbal, written, and interpersonal communication skills.
Proficient computer skills to include working knowledge of Microsoft Office Suite, Epic EHR, Internet, and E-mail.
Past credentialing experience preferred.
Basic Life Support certification; also attainable through the University upon hire.�
Ability to handle confidential matters discretely as required.�
Experience in ICD-10 and CPT codes.�
Knowledge of medical terminology.
Experience interacting with managed care plans, insurance companies, and third party payers.�
Ability to work independently with strong attention to detail.
Precise follow-up skills.
Must be able to prioritizemultiple tasks, handle busy phones, and be capable of work in a fast-paced environment.
Must be able to handle stressful situations and have excellent decision making skills.
Use of general office machines.
Department Name/Job Location:
This position is with the Program in Physical Therapy and is located at our clinical practice at 1 Progress Point, O'Fallon, MO.
This position will require some traveling between the O'Fallon practice and the Medical School Campus. In addition, the majority of training will be held at the Medical School Campus.
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.