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

Washington University in St. Louis; St. Louis (MO); On-site; USD 28,929 - 44,083; Full time

Benefits offered by this job

Up to 22 days vacation

Health insurance

Metro transit U-Pass

403(b) Retirement Savings Plan

Job summary

Washington University in St. Louis is seeking an Insurance Billing and Collections Specialist to perform advanced follow-up on billing and collection activities for physician services. You will verify insurance information, submit claims, and contact payers to expedite payments.

This float role supports A/R across departments and may involve handling ad-hoc reports. Typical duties include using Epic EHR, reviewing accounts, and assisting with training and team leadership as needed.

Qualifications

• High school diploma or equivalent; two years of college or business school preferred.
• Two years of college or business school and an Associate degree are encouraged.

Responsibilities

• Performs insurance follow-up billing and collection duties to ensure timely payment.
• Reviews patient accounts for accuracy of insurance, eligibility, and invoicing.
• Uses Epic, payer websites, and internal tools for claim submission and status checks.
• Makes collection calls to insurers and patients to secure payments.
• Supports customer service with billing and collection questions.
• May act as Team Lead and assist with training new staff.
• Adheres to QA standards and one-touch resolution practices.

Skills

Claims Resolution

Collections Strategies

Communication

Computer Literacy

Confidential Data Handling

HIPAA Compliance

Medical Terminology

Insurance Follow Up

Medical Billing and Coding

Office Equipment

Team Leadership

Telephone Communications

Education

Associate degree

Two years of college or business school

Tools

Epic EHR

Microsoft Excel

Microsoft Word

Office Equipment

ICD-10 Coding System

Job description

Location

St. Louis, MO 63110

Scheduled Hours

40

Position Summary

Performs advanced follow-up on insurance billing and collection activities, makes collection calls, verifies the accuracy and completeness of insurance records and claims, contacts insurance companies and/or collection agencies as well as other related duties to expedite payments from various payers for physician services.

Float position assists various areas of A/R and support functions for WU-PBS. Areas of responsibility for assignments range from coverage for open or understaffed areas as well as working with spreadsheets and/or other ad-hoc reports.

Job Description

Primary Duties & Responsibilities

• Performs insurance follow-up billing and collection duties on various financial classifications to ensure timely and accurate payment of physician charges.
• Reviews patient accounts to verify the accuracy of information including insurance, eligibility, invoice resolution, correspondence, remittances, requests for additional information, or other appropriate handling.
• Utilizes Epic, system tools, and payer websites for claim submission, claim status, attachments, eligibility, and authorization/referral inquiry.
• Makes collection calls to insurance companies and/or patients to ensure timely payment of claims.
• Contacts insurance companies regarding posting payments and collection agencies regarding payment reports.
• Supports customer service unit in answering billing and collection questions.
• Assists with training new staff.
• Consistently meets the Quality Assurance (QA) and meaningful efficiency standards of working invoices each day and follows best practices for one-touch resolution as established within the department.
• Interacts with management and staff members to discuss issues.
• May act as Team Lead.
• Assists with special projects.
• Performs other duties as assigned by the supervisor and/or manager.

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.

Preferred Qualifications

More About This Job

• Two years of college or business school.
• Working knowledge of computers, general office equipment, telephone console, medical terminology, collection techniques and communication skills that involves dealing with confidential information.

Education

Associate degree

Preferred Qualifications

Associate degree

Certifications/Professional Licenses

No additional certification/professional licenses unless stated elsewhere in the job posting.

Work Experience

No additional work experience unless stated elsewhere in the job posting.

Skills

Claims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Team Leadership, Telephone Communications

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, 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.