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Insurance Billing/Collections Assistant II (Pre-Arrival Team/Remote) - Program in Physical Therapy | Washington University in St. Louis - Military Veterans

at Herc - South Midwest

Scheduled Hours 40 Position Summary This position works to complete insurance verification, examination and tracking of insurance authorizations, and validation of referral record accuracy. Enters demographic and insurance/referral information into necessary portions of the patient medical record. Performs varied professional services to ensure therapy services are reviewed and completed in an efficient manner. Ensures maximum reimbursement with all payers by securing necessary authorizations, completes insurance verifications, and updates Epic EMR database. Performs specialized duties with minimal supervision. Copying and faxing medical records as required. Job Description Primary Duties & Responsibilities Contacts necessary insurance companies for benefit verification and pre-certification of therapy procedures; notifies coding staff for missing, or inaccurate coded services.  Works with referring physician offices to provide updated orders. Verifies ICD-10 diagnosis application with review of Epic database for follow-up visits.  Collects data for internal/external requests. Stays abreast of coding changes.  Attends applicable meetings and report results. Obtains insurance information from patients and reviews medical record for accuracy.  Supplies all documentation required during pre-certification process to insurance companies. Maintains open communication with providers and referring physicians. Maintains written log of all pre-certifications in process.  Documents and notifies necessary parties of pre-certification when received.  Reviews, follow-ups, and reconciliation of pre-arrival, patient, and financial work queues as transpired. Provides support to patient/office and pre-arrival processes when required. Performs other duties as assigned. Preferred Qualifications Working knowledge of clinical practice. Coding and insurance experience. Experience interacting with managed care plans, insurance companies, and third party payers. Experience in ICD-10 and CPT codes. Knowledge of medical terminology. Ability to work independently with strong attention to detail.  Possess good organizational and critical thinking skills with the ability to solve simple and complex problems and handle stressful situations.  Ability to prioritize multiple tasks, handle busy phones, and be capable of working in a fast-paced environment.   Excellent and professional verbal, written, and interpersonal communication skills with the ability to work well with all personnel.  Proficient computer skills to include working knowledge of Microsoft Office Suite, Internet, Epic HER, and E-mail.  Ability to handle patient medical record, billing information, and all confidential matters and information discretely. Required Qualifications High school diploma or equivalent high school certification. Two to three years of related experience in bookkeeping/accounting and/or medical collection setting. Grade C06-H Salary Range $17.34 - $25.40 / 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. 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. Want to Live Near Your Work and/or improve your commute? Take advantage of our free Metro transit U-Pass for eligible employees. We also offer a forgivable home loan of up to $12,500 for closing costs and a down payment for homes in eligible neighborhoods. 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? Weve 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 Universitys 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.

St Louis, MO

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