Herc-Higher Education Recruitment Consortium

Scheduled Hours

40

Position Summary

Performs follow-up insurance billing and collection activities on a minimum of 30 claims per day; makes collection calls, verifying accuracy and completeness of claims, contacts insurance companies and collection agencies in regard to expediting payments from various payers for physicianâ™s services. 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 Medicaid and Medicare payors for physician services.

Job Description

Primary Duties & Responsibilities

• Performs collection follow-up duties for third party payers to ensure timely and accurate payment of physician charges.
• Review patient account information, invoices, correspondence and remittances for denials and verification of accuracy.
• Utilizes the payer websites for claim submission, claim status, attachments, eligibility, and authorization/referral inquiry. 
• Consistently works transfers from other A/R managed areas at WUSM that appear in EPIC work queues for prompt resolution.
• Consistently meets the Quality Assurance (QA) standard of 95% as established within the department.
• Consistently meets the productivity standard of working a set amount of invoices daily as established within the department.
• Interacts with PBS team members and clinical department staff to discuss issues.
• Other duties as assigned by the manager and/or supervisor. Assist with special projects.

Working Conditions

• Position works remotely, however on-site presence will be required two to three days a week.
• Work is fast-paced and demanding with time constraints and productivity requirements.

Preferred Qualifications

• Working knowledge of computers, general office equipment, telephone console, medical terminology, collection techniques and communication skills that involve dealing with confidential information.

Required Qualifications

• High school diploma or equivalent high school certification.
• Two to three years of related experience in bookkeeping/accounting and/or medical collection setting.

Grade

C06-H

Salary Range

$16.17 - $23.47 / Hourly

The 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.

Pre-Employment Screening

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.

Benefits Statement

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.

EEO/AA Statement

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.

Diversity Statement

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.

Applicant Instructions

When you are ready to apply, creating an account only takes a minute. Your account creates a candidate home page which we will use to communicate with you and allows you to apply for jobs and view your application statuses. The first page of the application offers two âœQuick Apply❠options. Quick Apply allows you to either use a previous application or create a new application using a resume to populate the work experience and education sections of your job application. If using a resume to populate your application, check to ensure the application fields populated accurately. You may skip the âœQuick Apply❠page by clicking âœNext❠at the bottom of the page. Documents may be uploaded in the My Experience section of the application. You also have the option to apply with a Linkedin feature, which allows you to apply by using your Linkedin profile to populate some of the job application fields.