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.
Performs comprehensive financial counseling services for patients with billing issues for pre and post service. Anticipates patient/customer needs and performs the best possible job satisfying those patient/customer needs. Serves as a liaison between patients and their insurance carrier(s). Serves as a liaison between Washington University Physicians Billing Services and affiliated Hospital Systems to resolve patient account issues. Handles discounts, adjustments and patient registration updates in the EPIC system. Establishes appropriate budget plans for patients upon request. Collects payments for both pre service and services rendered when appropriate. Make daily deposits using the Financial Information System (FIS). Interacts routinely with physicians, clinical/technical staff, department administrators and personnel. Back up the Patient Services area with incoming patient calls.
PRIMARY DUTIES & RESPONSIBILITIES:
Performs financial counseling services by working with patients and appropriate entities to resolve billing issues. This may include physician charges as well as hospital-related charges.
Assists consumers/patients with applying for insurance through the Healthcare Exchange.
Analyzes patient billing inquiries using the EPIC system to determine the correct course of action to resolve billing issues.
Contacts insurance carriers about patient billing questions and makes the appropriate updates/changes in the GE system including the application of adjustments/discounts to accounts when needed.
Establishes appropriate budget plans for patients upon request.
Works closely with departmental staff to resolve patient inquiries about services prior to being rendered.
Validates charges for specific services and makes appropriate changes as needed.
Answer CRM request for Certified Application Counseling and Pre-Service
Reviews Explanation of Benefits (EOBs) for rejections, partial payments and patient responsibility amounts.
Supports Patient Services Unit in answering billing and collection questions.
Maximizes the collection of Self-pay revenues through efficient processes, sound collection policy and cost-effective contractual agreements with outside collection agencies and vendors.
Performs other duties as assigned.
High school diploma or equivalent high school certification.
Three to five years of previous billing or insurance experience.
Certified Application Counselor (CAC) is highly preferred.
At least five years of experience with physician accounts receivables.
Overall healthcare experience with working knowledge of accounts receivable.
Advanced degree is desirable.
Thorough working knowledge of third-party procedures, related systems and standards, and self-pay collections.
Strong written and verbal communication skills with the ability to interact with individuals at various levels.
Excellent working knowledge of GE/EPIC applications.
Ability to manage multiple tasks.
Good organizational and planning skills.
Ability to work autonomously with little supervision.
PC software knowledge: Microsoft Excel, Access, Word and Adobe.
Department Name/Job Location:
This position is in the Department of Physicians Billing Services. This position is for the Medical School Campus.
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.
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.