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

Washington University in St. Louis; St. Louis (MO); Remote; USD 29,000 - 44,000; Full time

Benefits offered by this job

Vacation time (up to 22 days)

Holiday pay and sick time

Health insurance packages

Metro U-Pass transit benefits

403(b) retirement plan

Job summary

Washington University in St. Louis is seeking a Billing Specialist to coordinate and perform professional billing activities under the No Surprise Billing Act (NSBA).

The role uses Epic tools to process self-pay, uninsured, and non-contracted plan patients, and may aid in out-of-network authorization. Primarily remote with a requirement to come into the office at least once a month, the position supports the BJC estimate team for professional portions of patient estimates as applicable and

Qualifications

• High school diploma or equivalent is required.
• Billing or Insurance experience (3 years) is preferred.
• Familiarity with Epic billing workflows and NSBA requirements is a plus.

Responsibilities

• May lead or train IBC Assistants.
• Perform collection follow-up for various financial classifications.
• Handle discounts, adjustments and charge corrections.
• Make collection calls to insurers and patients to ensure timely payment.
• Review remittance advice for accuracy of payments.
• Verify charge tickets and monitor attachments for maximum reimbursements.
• Coordinate with insurers and collection agencies on payments.
• Answer billing and collection questions from customers.

Skills

Collections Strategies

Communication

Computer Literacy

Confidential Data Handling

Medical Terminology

Office Equipment

Telephone System

Education

High school diploma or equivalent

Tools

Epic

WQs

Reports

Modules/Applications

Job description

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.

Location

St. Louis, MO 63110

Scheduled Hours

40

Job Description

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.

Education

Required Qualifications

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.

More About This Job

WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles.

Education

Preferred Qualifications

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.

Questions

For frequently asked questions about the application process, please refer to our External Applicant FAQ.

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.