Location
ST. LOUIS, MO 63108
Scheduled Hours
40
Position Summary
Meets with patients in person and on phone to discuss financial obligations, review insurance benefits, creates cost estimates, and establishes payment plans and collects payment as needed.
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).
Utilizes 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.
Processes 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.
Job Description
Primary Duties & Responsibilities:
- Works 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.
- Creates cost estimates of care for ambulatory and surgical services and counsels’ patients on out-of-pocket expenses.
- Communicates with patients and processes payments prior to service date.
- Meets with patients to discuss financial obligations incurred through clinical and/or operative services rendered.
- Discusses financially sensitive information and determines need for financial aid and assistance.
- Works with division, 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.
- Interacts with physicians, clinical staff, department and division 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.
- Performs other duties as assigned.
Working Conditions:
Job Location/Working Conditions
Clinical office environment.
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/Professional Licenses:
The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.
Basic Life Support - American Heart Association, Basic Life Support - American Red Cross
Work Experience:
Billing Or Insurance (5 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
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:
College Or Business School (2 Years)
Skills:
Billing, Communication, Computer Literacy, Confidential Data Handling, Credit Management, Customer Service, Data Entry, Epic Applications, Financial Reports, Medical Terminology, Office Equipment, Payment Collections, Payment Processing, Spreadsheet Software
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
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 Statement
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. 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, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.