This position is in the Department of Internal Medicine, Renal Division.� The position is located at 4444 Forest Park Avenue.� This position is for the Medical School Campus.
The Renal Division of the Department of Internal Medicine at Washington University School of Medicine offers state-of -the art clinical expertise based on extensive and nationally recognized research. Each member of our clinical staff of 19 physicians is board certified in Internal Medicine with special certification in Nephrology. Our physicians treat all conditions related to kidney disorders.
Performs billing and collection activities from registration to collection for Renal Network. Obtains patient demographic and financial information. Enters charges, prepares and verifies accuracy of claims. Performs collection and appeals functions with third party payers for technical and professional fees.
PRIMARY DUTIES AND RESPONSIBILITIES:
Review/enter charges related to dialysis services within 5 days after the end of the month.
Generates billing claim forms and verifies the accuracy of forms. Submits billing forms to third party payers either by electronic transmission or by paper within 5 days of charge entry and according to departmental policies and procedures.
Ensures proper billing and collection of Medicare claims. Monitors remittance advices for denials, appeals denials, and performs account follow-up activities in a timely manner. Monitors online system for additional information requests. Ensures that all requests are responded to in a timely manner.
Performs collection activities on accounts by following up with insurance companies via telephone and/or web access. Ensures that necessary information has been received by insurance carrier. Follows up on open accounts every 30 - 45 days.
Reviews remittance advices for preparing secondary claims in a timely manner and for accuracy of payments and prepares appeals, when applicable.
Reviews and responds to correspondence from insurance companies and/or patients.
Assists in other office activities as directed by supervisor.
2 years of college or business school.
Dialysis billing experience; Medical Manager billing experience.
Proficient with Excel and Word.
Medical office experience.
Working knowledge of computers, general office equipment, telephone console, medical terminology, collection techniques and communication skills that involves dealing with confidential information.
Equivalent of High School diploma with 3 to 5 years of previous billing or insurance experience required.
This position is full-time and works approximately 40 hours per week.
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 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.
The hiring range for this position is $18.81 - $23.52 per hour.
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.