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 4533 Clayton Ave. This position is for the Medical School Campus.
Position is responsible for accounts receivable and serves as working supervisor supporting the Accounts Receivable team. Position will work with insurance billing & collections team members to identify rejection trends, report issues and monitor/work until resolution. Monitors Epic work queues & make adjustments to work assignments as needed. Responsible for credentialing functions pertaining to enrolling providers & independent laboratories with payers, governmental & private.
PRIMARY DUTIES AND RESPONSIBILITIES:
Monitors Epic insurance follow up work queues on a daily basis, adjusting work assignments, dependent upon staffing levels.
Reviews monthly accounts receivable reports to identify rejection trends in order to proactively identify potential problems and their impact.
Researches payer reimbursement & coding policies; communicates to billing & laboratory administration. Keeps abreast of procedures & changes affective governmental, private payers and/or other related health care operations.
Attends monthly payer meetings, reports issues to payor representatives. Communicates information to collectors, coding manager, billing director & laboratory managers.
Reviews monthly quality assurance audits for insurance billing & collections staff to assure claims are being worked efficiently & correctly.
Reviews monthly productivity summaries with staff members.
Must be flexible and able to handle multiple priorities with ability to adjust to high pressure and rapidly changing business conditions.
Experience with ICD-10 and CPT coding.
Extensive experience with Excel is a plus.
Pathology coding & collections experience is a plus.
Prefer one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials
The hiring range for this position is $51,272 - $65,374 annually.
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.
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.