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

Location: St. Louis, MO 63110 • Scheduled Hours: 40

About the role

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, and performs other related duties to expedite payments from various payers for physician services. This is a float position that assists various areas of accounts receivable and support functions for WU-PBS. Assignments may include coverage for open or understaffed areas, working with spreadsheets, and/or other ad-hoc reports.

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

• Normal office environment.
• Typically sitting at a desk or table.
• Repetitive wrist, hand, or finger movement (PC typing).
• Uses standard office equipment.

Requirements

• High school diploma or equivalent high school certification or combination of education and/or experience.
• Three years of billing or insurance experience.

Preferred Qualifications

• Two years of college or business school.
• Associate degree.
• Working knowledge of computers, general office equipment, telephone console, medical terminology, collection techniques, and communication skills involving confidential information.

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

Pay

$21.33 - $31.98 / Hourly

Benefits

• Up to 22 days of vacation, 10 recognized holidays, and sick time.
• Competitive health insurance packages with priority appointments and lower copays/coinsurance.
• Free Metro transit U-Pass for eligible employees.
• Defined contribution (403(b)) Retirement Savings Plan, combining employee contributions and university contributions starting at 7%.
• Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more.
• Four weeks of caregiver leave to bond with a new child.
• Family care resources for childcare needs.
• Tuition coverage for employees and their families, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years of employment.