Transplant Billing Analyst (Hybrid) - Physician Billing Services

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

Benefits offered by this job

Up to 22 days of vacation

Competitive health insurance packages

Accommodation available

Job summary

Washington University in St. Louis in St. Louis, MO is seeking a healthcare billing specialist to manage follow-up with payers for physician and hospital charges, verify claim accuracy, and expedite payments for global transplant services.

You will prepare disbursements, review refunds, maintain transplant patient listings, and collaborate with clinical departments to resolve payer issues while adapting to a primarily remote work setup with monthly office visits.

Qualifications

• Education: High school diploma or equivalent.
• Certifications /Professional Licenses : No specific certification/professional license required for this position.
• Work Experience: Insurance Or Collection In A Healthcare Environment (2 Years)
• Skills: Electronic Medical Billing

Responsibilities

• Performs collection follow-up duties for global transplant payers to ensure timely and accurate payment of physician charges and hospital charges.
• Responds to questions and requests from clinical departments, insurance companies and hospital facilities.
• Reviews correspondence and remittances for rejections and verification of accuracy.
• Runs disbursement queries and prepares payment remittance spreadsheets for each patient.
• Processes and verifies accuracy of refund requests.
• Prepares weekly billing spreadsheets for submission to hospital facility.
• Processes final billing requests including department notification, verification of charge submission and payment receipt and forwards to hospital facility.
• Assists with special accounts receivable projects.
• Meets with clinical department staff to discuss payer issues.
• Other duties as assigned by the supervisor or manager.

Skills

Electronic Medical Billing

Communication

ICD-10 Coding

Medical Billing

Education

High school diploma or equivalent

Job description

Location St. Louis, MO 63110

Scheduled Hours 40

Position Summary

Responsible for follow-up insurance billing and collection activities, verifying accuracy and completeness of claims, contacting insurance companies and other related duties to expedite payments from various payers for physician services. Responsible for preparing payment disbursements, researching refund requests and private physician bills. Updates and maintains global transplant patient listing based on transplant phase and payer information.

Job Description

Primary Duties & Responsibilities:

• Performs collection follow-up duties for global transplant payers to ensure timely and accurate payment of physician charges and hospital charges.
• Responds to questions and requests received from clinical departments, insurance companies and hospital facilities.
• Reviews correspondence and remittances for rejections and verification of accuracy.
• Runs disbursement queries and prepares payment remittance spreadsheets for each patient.
• Processes and verifies accuracy of refund requests.
• Prepares weekly billing spreadsheets for submission to hospital facility.
• Processes final billing requests including department notification, verification of charge submission and payment receipt and forwards to hospital facility.
• Assists with special accounts receivable projects.
• Meets with clinical department staff to discuss payer issues.
• Other duties as assigned by the supervisor or manager.

Working Conditions:

Job Location/Working Conditions: Normal office environment. Primarily remote with the exception of coming into the office at least once a month.

Physical Effort:

Typically sitting at a desk or table.

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: Insurance Or Collection In A Healthcare Environment (2 Years)

Skills: Electronic Medical Billing

Driver's License: A driver's license is not required for this position.

More About This JobRequired Qualifications:Familiarity with diagnosis, physician and hospital coding.Must meet established productivity and quality assurance standards to ensure effective collections and claim resolutions.Understanding of billing and collection guidelines for several different global transplant contracts.

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

Skills: Communication, ICD-10 Procedure Coding System, Medical Billing and Coding

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.
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