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 Neurology. The position is located at Mid Campus Center. This position is for the Medical School Campus.
The insurance follow up/appeals team supervisor is responsible for managing all aspects of the appeals process and its associated team in the Department of Neurology. Involves closely working with billing staff, medical insurance carriers, patients, and other personnel as necessary. Position will review medical documentation in order to prepare and submit appeals to insurance carriers. Contacts insurance companies to follow up and expedite payment of appealed claims. Provides day to day management of appeals team members.
PRIMARY DUTIES AND RESPONSIBILITIES:
Provides oversight, management, and reporting of the appeals team. Includes: daily supervision of employees including hiring, onboarding, managing work schedules, counseling, coaching, training and developing team members. Prepares and delivers performance evaluations for team members. Provides regular feedback to team members regarding performance as needed to assure a high performing team
Reviews AR Appeals and helps to identify trends in denials to proactively identifies potential problems and their impact
Identifies and resolves rejected claims as well as claims not paid appropriately. Contacts appropriate entity to determine reason for rejection. Takes all possible steps to recover outstanding revenue in accordance with Department standards
Keeps abreast of procedures and changes affecting Medicare, Medicaid, and third party payers and/or other related health care operations
Act as liaison between team members and management
Provide cross coverage/support for staff during peak times (i.e., vacations & illnesses)
Other duties as assigned
Equivalent of Associate’s degree with 5 years related experience, preferably in medical insurance setting with supervisory duties.
Developed office skills including use of variety of data systems, general office equipment, effective telephone, interpersonal and communication skills
Experience in ICD-10 and CPT Coding
Must possess excellent organization skills and be able to exercise independent judgement & decision making
Ability to prepare written reports and correspondence
Must be flexible and able to handle multiple priorities, with the ability to adjust to high pressure and rapidly changing business conditions
The hiring range for this position is $51,272 - $65,374 annually.
Normal office environment with variable pressures, time constraints and schedule changes.
Includes some short distance travel between office and affiliated institutions.
Handling of confidential information.
Internal Applicant Instruction:
This position is grade C11.
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.