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 position is responsible for processing all aspects relating to insurance payer appeals to include Rejections, Write-Offs, Underpayments and Precertification denials.
PRIMARY DUTIES AND RESPONSIBILITIES:
Follows-up with insurance companies to ensure prompt and accurate payments.
Works closely with Insurance Payer Representatives to identify payer trends and internal processing challenges.
Gives updates and feedback regarding payer and system challenges.
Assists Director with development of procedures within the department.
Assists with departmental appeal's functions during vacations and absences.
Assists with special projects and other duties assigned.
Promotes team effort and departmental goals.
High school diploma or equivalent GED/HiSET with three to five years of previous billing or insurance experience required.
Two years of college or business school preferred.
Understanding of computerized accounts receivable systems and ICD-10 and CPT Coding.
Working knowledge of Microsoft Products to include Word, Outlook, intermediate skills in Excel and at least basic skills in Access.
In depth knowledge of insurance rejection/appeal and/or collection processes in a healthcare environment. Working knowledge of contracting and underpayment processes.
This position is full-time and works approximately 40 hours per week.� Ability to adjust hours to accommodate workload.
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.
This position is in the Department of Radiology Administration.� This position is for the Medical School Campus.
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.
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.