Insurance Billing/Collections Assistant III - Orthopedic Surgery

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Overview

The position available is for an Insurance Billing/Collections Assistant III specializing in Orthopedic Surgery at Washington University in St. Louis. This role involves advanced follow-up on insurance billing and collection activities primarily within the medical sector. The selected candidate will be engaged in various activities aimed at expediting payments from multiple payers for physician services.

Job Responsibilities

The Insurance Billing/Collections Assistant III position encompasses various key duties that include:

• Performing advanced billing and collection activities to ensure timely payment of physician charges.
• Conducting thorough reviews of patient accounts to verify the accuracy of insurance information, eligibility, invoice resolution, and correspondence.
• Utilizing Epic and other system tools for efficient claims submission and status checks.
• Making collection calls to insurance companies or patients, ensuring claims are processed and payments received without delays.
• Coordinating with insurance companies regarding posting payments and liaising with collection agencies for payment reports.
• Supporting the customer service unit by addressing billing and collection inquiries.
• Assisting in training new staff as necessary.
• Meeting specific Quality Assurance (QA) and efficiency standards while managing invoices daily.
• Engaging with management and team members to resolve issues effectively.
• May act as a Team Lead on some projects or tasks.
• Performing any other duties as assigned by supervisors or management.

Work Environment and Conditions

The work is primarily carried out in a normal office setting. Candidates can expect to spend substantial time seated at a desk, with repetitive movements associated with PC typing. The conditions are geared toward an office environment conducive to productivity.

Qualifications

Required Qualifications

• A high school diploma or an equivalent certification is required. Alternatively, a combination of relevant education and experience is acceptable.
• The candidate must have a minimum of three years of experience in billing or insurance related roles.
• No specific certification is mandated for this position.

Preferred Qualifications

• An Associate degree is preferred, although not mandatory.
• Additional experience beyond the three years specified is not necessary for consideration.

Essential Skills

Candidates are expected to possess various skills crucial for the position including but not limited to:

• Proficiency in claims resolution and collection strategies.
• Strong communication abilities and computer literacy.
• Familiarity with handling confidential data responsibly.
• Experience with Epic EHR, health insurance billing, and understanding of HIPAA regulations.
• Knowledge of medical terminology, ICD-10 coding, and basic Microsoft Office applications such as Excel and Word.
• Ability to lead teams or assist in team dynamics is appreciated.

Salary and Benefits

The salary range for this role is between $20.57 and $30.84 per hour, depending on the qualifications and performance of the candidate. The pay structure reflects base salaries for jobs within a specified grade at the university, offering flexibility based on experience, market rates, and departmental equity.

Benefits

Washington University provides a comprehensive benefits package that includes:

• Up to 22 days of vacation time along with 10 recognized holidays and sick leave.
• Health insurance plans with competitive premiums, lower copays and coinsurance, and priority appointments.
• Free Metro transit U-Pass for eligible employees.
• A viable retirement savings plan (403(b)) with contributions from both employee and employer starting at 7%.
• A variety of wellness initiatives, including annual health screenings, mental health resources, and fitness programs.
• Family benefits including up to four weeks of caregiver leave and coverage of tuition costs for employees and their family members at Washington University and select institutions after seven years.

Additional Information

Before being officially hired, selected candidates must undergo pre-employment screening. This screening may include background checks, drug tests, education and credential verifications, and others based on the job specifics. The university remains committed to inclusivity and equal opportunity employment practices.

Washington University in St. Louis values diversity and encourages individuals from all walks of life, particularly from underrepresented backgrounds, to apply for this role. This commitment aligns with their mission to foster a community marked by respect and inclusivity.

Overall, the Insurance Billing/Collections Assistant III position is designed for dedicated individuals keen on contributing to an esteemed academic medical community while ensuring optimal operational effectiveness in billing and collection processes.

This job offer was originally published on himalayas.app