Insurance Billing/Collection Assistant III (Remote) - Pre-Certification Services
About The Position
Performs follow-up on insurance billing and collection activities, verifying the accuracy and completeness of insurance records, and claims, contacting insurance companies as well as other related duties to expedite payments from various payers for physician services. This role involves performing insurance follow-up billing and collection duties on various financial classifications to ensure timely and accurate payment of physician charges. It also includes reviewing patient accounts to verify the accuracy of information including insurance, eligibility, invoice resolution, correspondence, remittances, requests for additional information, or other appropriate handling. The position utilizes Epic, system tools, and payer websites for claim submission, claim status, attachments, eligibility, and authorization/referral inquiry. It also involves making collection calls to insurance companies and/or patients to ensure timely payment of claims, and contacting insurance companies regarding posting payments and collection agencies regarding payment reports. The role supports the customer service unit in answering billing and collection questions, assists with training new staff, and consistently meets Quality Assurance (QA) and meaningful efficiency standards. Interaction with management and staff members to discuss issues is expected, and the role may act as a Team Lead. Special projects and other duties as assigned by the supervisor and/or manager are also part of the responsibilities.
Requirements
- High school diploma or equivalent high school certification or combination of education and/or experience.
- Billing Or Insurance (3 Years)
- 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
- Telephone Communications
Nice To Haves
- Associate degree
- Team Leadership
Responsibilities
- Performs insurance follow-up billing and collection duties on various financial classifications to ensure timely and accurate payment of physician charges.
- Reviews patient accounts to verify the accuracy of information including insurance, eligibility, invoice resolution, correspondence, remittances, requests for additional information, or other appropriate handling.
- Utilizes Epic, system tools, and payer websites for claim submission, claim status, attachments, eligibility, and authorization/referral inquiry.
- Makes collection calls to insurance companies and/or patients to ensure timely payment of claims.
- Contacts insurance companies regarding posting payments and collection agencies regarding payment reports.
- Supports customer service unit in answering billing and collection questions.
- 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.
Benefits
- Up to 22 days of vacation
- 10 recognized holidays
- Sick time
- Competitive health insurance packages with priority appointments and lower copays/coinsurance
- Free Metro transit U-Pass for eligible employees
- Defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%
- Wellness challenges
- Annual health screenings
- Mental health resources
- Mindfulness programs and courses
- Employee assistance program (EAP)
- Financial resources
- Access to dietitians
- 4 weeks of caregiver leave to bond with your new child
- Family care resources
- Adult care resources
- Tuition coverage for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
