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 performing advanced billing & collection activities. Position will review claim rejections to determine coding accuracy, identify rejection trends and submit appeals to third party payers. Position will also handle posting discounts, adjustments and charge corrections.
PRIMARY DUTIES AND RESPONSIBILITIES:
Review third party rejections, investigate & problem solve reimbursement issues. Determine if formal appeal is needed, if claim needs correction and/or if the payer needs to be contacted for resolution. Submit formal appeals as needed.
Routinely review payor reimbursement policies related to Pathology services. Interpret & communicate information to appropriate billing, coding & administrative staff members. Requires thorough understanding of the insurance billing & collection process as well as the ability to effectively communicate with third party payers for resolution.
Identifies inconsistencies within an account (i.e., registration, payment posting & refunds) and works with appropriate individuals to resolve.
Assists as backup support for appeals staff during peak vacation times and/or illnesses.
Assist with special projects & reports as needed.
Other duties as assigned.
Equivalent of high school diploma with three to five years of previous billing or insurance experience.
Certified coder through AHIMA (I.E., CCA, CCS OR CCS-P) or AAPC (CPC, CPC-A).
Two years of college or business school.
Working knowledge of Microsoft products to include Word, intermediate skills in Excel, Outlook, as well as general office equipment.
Possesses the ability to work independently with strong attention to detail, prioritize and maintain exceptional organizational skills.
Precise follow-up skills.
Possesses effective oral & written communication skills.
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.
Internal Number: 52209
About Washington University in St. Louis
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.