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 Internal Medicine Business Office. This position is for the Medical School Campus.
Performs advanced billing and accounts receivable activities.� Works and resolves patient registration and coverage charge review edits and claim form edits. Make calls to payers and patients/guarantors verifying accuracy and completeness of registration and insurance coverage information, contacts insurance companies for eligibility verification as needed.� Corrects all registration and coverage errors in order to release charges and claims.
PRIMARY DUTIES AND RESPONSIBILITIES:
Researches and resolves patient registration and coverage charge review edits and claim form edits.
Identifies and completes missing/incorrect patient registration and coverage information.
Contacts guarantor/patient for accurate coverage information as needed. Corrects registration and/or coverage information.
Utilizes electronic eligibility or contacts the payer by phone to verify eligibility and plan nuances.��
Accesses hospital registration systems to review registration and coverage information and review for accuracy and/or necessary corrections.
Resubmits charges/claims and verifies all errors have been resolved and clean claim has dropped.
Performs duties with adherence to timely filing deadlines and awareness of charge lag and lag time in WQs.
Supports and acts as a resource to others in the department regarding patient registration and coverages.
Acts as back-up support for pre-arrival eligibility team.
Working knowledge of computers, general office equipment, telephone console, medical terminology, collection techniques and communication skills that involves dealing with confidential information.
The hiring range for this position is $18.81 - $23.52 per hour.
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. Current employees applying for a new position within the university may be subject to this requirement. The screenings will include a criminal background check and, as applicable for the position, other background checks, drug screen, employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.
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.
Equivalent of High School diploma with 3 to 5 years of previous billing or insurance experience required.
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.