Insurance Billing/Collection Assistant III - Neurology
Washington University in St. Louis
Location: St. Louis, Missouri
Internal Number: JR63280
The position is responsible for processing all aspects relating to insurance payer appeals to include rejections, underpayments, and pre-certification denials. Responsible for follow-up on insurance billing and collection activities, verifying accuracy and completeness of claims, contacting insurance companies as well as other related duties to expedite payments from various Commercial, Medicaid, and Medicare payers for physician services in the Department of Neurology
Primary Duties & 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.
Performs collection follow-up duties for third-party payers to ensure timely and accurate payment of physician charges.
Must consistently meet department productivity and quality assurance standards.
Assists with departmental appeal's functions during vacations and absences.
Identifies inconsistencies within an account (i.e. registration, payment posting and refunds) and works with appropriate individuals to resolve.
Promotes team effort and departmental goals.
Special projects and other duties as assigned by the supervisor or manager.
Two years of college or business school.
Certified coder through AHIMA (I.E., CCA, CCS OR CCS-P) or AAPC (CPC, CPC-A)
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.
Working knowledge of EPIC software
Precise follow-up skills required
Possess the ability to work independently with strong attention to detail, prioritize and maintain exceptional organizational skills.
Experience in ICD-10 and CPT Coding.
Must possess effective oral communication & written communication skills.
Must possess excellent organizational skills and be able to exercise independent judgment & decision making.
Working knowledge of computers, general office equipment, telephone console, medical terminology, collection techniques and communication skills that involve dealing with confidential information.
High school diploma or equivalent high school certification.
Three to five years of previous billing or insurance experience.
$19.19 - $28.78 / HourlyThe salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an 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 is committed to providing a comprehensive and competitive benefits package to our employees. Benefits eligibility is subject to employment status, full-time equivalent (FTE) workload, and weekly standard hours. Please visit our website at https://hr.wustl.edu/benefits/ to view a summary of benefits.
Washington University is an equal opportunity and affirmative action employer. All qualified applicants will receive consideration without regard to an individualâ™s sex, race, color, religion, age, disability status, protected veteran status, national or ethnic origin, gender identity or expression, sexual orientation. Women, minorities, protected veterans and the disabled are strongly encouraged to apply.
Washington University is dedicated to building a diverse community of individuals who are committed to contributing to an inclusive environment â“ fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.
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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.