Insurance Billing/Collection Assistant III (Hybrid) - Physicians Billing Service

Washington University in St. Louis; Cape Girardeau (MO); On-site; USD 29,000 - 44,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Transit/commuter benefits

401(k) retirement plan

Wellness programs

Family leave

Job summary

Washington University in St. Louis is seeking a Billing Specialist to coordinate and perform professional billing activities in Epic under NSBA. You will handle pre-service payments, non-contracted plans, and collaborate with the BJC estimate team to provide the professional portion of patient estimates.

The role is primarily remote with monthly in-office visits, requiring 3 years of billing/insurance experience and a high school diploma or equivalent.

Qualifications

• High school diploma or equivalent is required.
• Billing or insurance experience (3 years) is expected.
• No specific certification or professional license required.

Responsibilities

• May act as a Lead IBC Assistant.
• May train and provide guidance to other IBC Assistants.
• Performs collection follow-up duties on specific financial classifications such as commercial insurance, self-pay, Medicare and Medicaid claims.
• Handles discounts, adjustments and charge corrections.
• Makes collection calls to insurance companies and patients to ensure timely payment of claims.
• Reviews remittance advises for rejection and accuracy of payment amounts.
• Verifies accuracy and completeness of charge tickets, monitors attachments for claims to obtain maximum reimbursements.
• Contacts insurance companies regarding posting payments and collection agencies regarding payment reports.
• Responds to questions and requests from Insurance companies.
• Supports customer service unit in answering billing and collection questions.
• Acts as back-up support for Accounts Receivable staff during peak times, vacations and illnesses.

Education

High school diploma or equivalent

Job description

Location St. Louis, MO 63110 Scheduled Hours 40

Position Summary

This position is responsible for coordinating and performing professional billing activities such as notify, consent, and good faith estimates in Epic in accordance with the requirements of the No Surprise Billing Act (NSBA). This position will utilize Epic tools, such as WQs, reports, and modules/applications to complete these activities for self-pay services, uninsured patients, and patients with non-contracted plans in specific settings. Additionally, this position will process applicable pre-service payments and may assist in coordinating and performing the out of network authorization and single case agreement processes for patients with non-contracted plans. This position will work directly with the BJC estimate team to provide the professional portion of the patient estimate when applicable. Primarily remote with the exception of coming into the office at least once a month.

Primary Duties & Responsibilities

• May act as a Lead IBC Assistant.
• May train and provide guidance to other IBC Assistants.
• Performs collection follow-up duties on specific financial classifications, such as commercial insurance, self-pay, Medicare and Medicaid claims.
• Handles discounts, adjustments and charge corrections.
• Makes collection calls to insurance companies and patients to ensure timely payment of claims.
• Reviews remittance advises for rejection and accuracy of payment amounts.
• Verifies accuracy and completeness of charge tickets, monitors attachments for claims to obtain maximum reimbursements.
• Contacts insurance companies regarding posting payments and collection agencies regarding payment reports.
• Responds to questions and requests from Insurance companies.
• Supports customer service unit in answering billing and collection questions.
• Acts as back-up support for Accounts Receivable staff during peak times, vacations and illnesses.

Working Conditions

Job Location/Working Conditions: Normal office environment. Physical Effort: Typically sitting at desk or table. Repetitive wrist, hand or finger movement (PC typing). Equipment: Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

• Education: High school diploma or equivalent high school certification or combination of education and/or experience.
• Certifications/Professional Licenses: No specific certification/professional license is required for this position.
• Work Experience: Billing Or Insurance (3 Years)
• Skills: Not Applicable
• Driver's License: A driver's license is not required for this position.

Preferred Qualifications

• Education: No additional education unless stated elsewhere in the job posting.
• Certifications/Professional Licenses: No additional certification/professional licenses unless stated elsewhere in the job posting.
• Work Experience: Post-Secondary Education (2 Years)
• Skills: Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Medical Terminology, Office Equipment, Telephone System

Grade C08-H Salary Range $21.33 - $31.98 / 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.

Accommodation

If you are unable to use our online application system and would like an accommodation, please email [e-mail] or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.

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

• Personal Up to 22 days of vacation, 10 recognized holidays, and sick time.
• Competitive health insurance packages with priority appointments and lower copays/coinsurance.
• Take advantage of our free Metro transit U-Pass for eligible employees.
• WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
• Wellness Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
• Family We offer 4 weeks of caregiver leave to bond with your new child.
• Family care resources are also available for your continued childcare needs.
• Need adult care? We’ve got you covered.
• WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
• For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/

EEO Statement

Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity or shared ancestry, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. As a federal contractor, the university maintains affirmative action programs to implement its equal employment opportunity policy for individuals with disabilities and protected veterans, in accordance with Section 503 of the Rehabilitation Act of 1973, as amended, and the Vietnam Era Veterans’ Readjustment Assistance Act of 1974 (VEVRAA), as amended.