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. The position is located at the West Building. This position is for the Medical School Campus.
Position is responsible for performing advanced billing & collection activities related to hospital/facility & client billing. Position acts as primary liaison for hospital/facility client billing. Responsible for generation of monthly client invoices to be submitted for reimbursement. Responsible for reviewing claims rejections to determine coding accuracy, identify rejection trends and submit appeals to third party payers.
PRIMARY DUTIES AND RESPONSIBILITIES:
Review monthly client charge detail excel file and compare to Laboratory Information System (LIS) to ensure CPT codes & units are billed correctly as well as fees are applied according to contracted rates. Prepare & submit individual invoices for all Pathology clients.
Perform follow up activities to ensure receipt of payment from each client for all invoices. Follow up with all remaining external facilities for payment. Notifies departmental leadership when reimbursement from clients is delayed.
Assists AR team with third party & appeals rejections. Reviews remittance advises for accuracy of rejections & payment amounts. Submit appeals as needed.
Assist with charge capture for organ procurement organization (OPO) services, provider & lab credentialing as well as special projects as needed.
Other duties as assigned by departmental leadership.
Equivalent of High School diploma with 3 to 5 years of previous billing or insurance experience required.
Demonstrated ability to work independently, self-starter, strong attention to detail, ability to prioritize and maintain exceptional organizational skills.
Excellent problem solving skills.
Demonstrated ability working with Microsoft Word & Excel.
Must possess effective oral & written communication skills.
Able to meet the established productivity and quality assurance audit standards.
Working knowledge of medical terminology as well as medical claims follow up and/or appeals.
Knowledge of ICD-10, CPT, revenue codes, and DRG's.
Coding certification preferred from AAPC-CPC or AHIMA-CCA, CCS.
The hiring range for this position is $18.45 - $23.06 per hour.
-Retirement Savings Plan -22 vacation days -10 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
HR website (hr.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.