Patient/Billing Services Representative II - Pediatrics Hematology & Oncology | Washington University in St. Louis - Military Veterans

Scheduled Hours 40 Position Summary Responsible for non-clinical interaction with patients and families. Interacts directly with patients and families to schedule appointments, register demographics, obtain insurance information, and enter the information into the EMR. Determines and collects co-payments, percentage payments, and self-payments. Obtains or verifies referrals for managed care plans. Responsible for pre-arrival work as it relates to patient registration and insurance eligibility. Works under the direct guidance of the Charge Nurse and the administrative guidance of the Director of Clinical Operations and Clinical Manager and Supervisor. Job Description Primary Duties & Responsibilities: Responsible for ensuring that the HIPAA Privacy Notice has been offered, consent form initialed and signed, and acknowledgement of this is documented in EMR.  Obtain and enter into the EMR registration fields all demographic and insurance information completely and accurately.  Insurance and Demographic information must be verified each visit and verification must be documented in EMR.  Maintains a 95% compliance rate of completing all required registration fields. Determine required payments from the daily Provider list collect the payments and record. Check insurance information two weeks prior to visit, contact PCP for referrals as needed, enters referral information into the EMR scheduling system. If no referral information prior to visit, obtain day of visit.  If unable to obtain referral, the physician must be notified. Verify insurance eligibility on all patients before the date of service.  All Medicaid must be verified on each date of service. Assign SLCH medical record HAR numbers for all new patients when reviewing the pre-arrival work list and is required in EMR. Schedule new and return patient appointments. Arrive, cancel or no-show Provider list daily. Verify accuracy and completion of charge documents. ICD-9 and CPT coding of charge tickets for completion. Follow POS Payment Policy at end of day closing procedures. Disburse parking validation with each visit. Screen patients for potential infection control problems and assist in follow-up to assure patient / family safety. Correct duplicate accounts that have been created. Follow HIPAA regulations at end of day closing. Treat patients and families with care, respect and professionalism Identify self and job function in all interactions with patients and families Ensure ID badge is visible at all times Maintain patient privacy at all times. Provide patients with clear and accurate information. Take action to continuously improve service Respond consistently to the needs of referring physicians and other health care professionals who are participating in the patients care. Create a positive work environment by treating all co-workers, students and physicians with dignity and respect. Working Conditions: Job Location/Working Conditions - 9th floor Office (SLCH).   Moderate to high stress level.   Frequent contact with patients, families, medical personnel, and administrative personnel.   Normal office environment. Patient care setting. Physical Effort Typically sitting at desk or table. Repetitive wrist, hand or finger movement. 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: The list below may include all acceptable certifications and issuers. More than one credential or certification may be required depending on the role. Basic Life Support - American Heart Association, Basic Life Support - American Red Cross Work Experience: Billing Systems And Third-Party Claims And/Or Medical Office Setting, Related Customer Service (3 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job Required Qualifications: Basic Life Support certification must be obtained within one month of hire date. Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements). Preferred Qualifications: Knowledge of EPIC or other EMR scheduling and insurance portal applications. Knowledge of third party reimbursement including HMO / PPO practices Knowledge of medical terminology, ICD-9 coding, and CPT coding Basic knowledge of safety and infectious control practices Well organized, self motivated with strong interpersonal skills Must be able to set priorities well Knowledge of  insurance plans and referrals Type 40 WPM Preferred Qualifications Education: No additional education beyond what is stated in the Required Qualifications section. 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: Financial Information, Insurance, Interpersonal Relationships 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. 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? 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.