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. In addition this position will work directly with the BJC estimate team to provide the professional portion of the patient estimate when applicable.

Job Description

• Work Epic WQs and reports containing scheduled services to identify and verify non-contracted coverage assignment, uninsured, and self pay services. Responsible for completing the good faith estimate process in Epic for scheduled self pay services, uninsured patients, and patients with non-contracted plans in specific settings.
• Communicate with patients and process payments prior to service date.
• Works with departments, clinical and scheduling teams on the Epic referral triage process. Engages with pre-arrival, pre-certification and WUPN staff to secure out of network authorizations and single case agreements. If either cannot be obtained, then this position ensures the services are canceled.
• Routinely interacts with clinical staff, department and department administrators and personnel. Serves as the liaison for the department, division, patients and affiliated hospital systems to coordinate notify, consent, signature, good faith estimate, estimate delivery, OON authorization and single case agreement when applicable.
• 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

• This position is primarily remote but requires coming into the office at least once a month.

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:

No specific certification 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.

Preferred Qualifications

Education:

Associate degree

Certifications:

No additional certification beyond what is stated in the Required Qualifications section.

Work Experience:

No additional work experience beyond what is stated in the Required Qualifications section.

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

$20.57 - $30.84 / 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 CandidateQuestions@wustl.edu 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/AA Statement

Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. 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, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.

Diversity Statement

Washington University is dedicated to building a diverse community of individuals who are committed to contributing to an inclusive environment – fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.