Transplant Billing Analyst (Hybrid) - Physician Billing Services

Washington University in St Louis•Saint Louis, MO

1d•Hybrid

About The Position

Responsible for follow-up insurance billing and collection activities, verifying accuracy and completeness of claims, contacting insurance companies and other related duties to expedite payments from various payers for physician services. Responsible for preparing payment disbursements, researching refund requests and private physician bills. Updates and maintains global transplant patient listing based on transplant phase and payer information.

Requirements

High school diploma or equivalent high school certification or combination of education and/or experience.
Insurance Or Collection In A Healthcare Environment (2 Years)
Electronic Medical Billing
ICD 9 and CPT Coding

Nice To Haves

Familiarity with diagnosis, physician and hospital coding.
Must meet established productivity and quality assurance standards to ensure effective collections and claim resolutions.
Necessary to review and understand billing and collection guidelines for several different global transplant contracts.
Medical Billing and Coding

Responsibilities

Performs collection follow-up duties for global transplant payers to ensure timely and accurate payment of physician charges and hospital charges.
Responds to questions and requests received from clinical departments, insurance companies and hospital facilities.
Reviews correspondence and remittances for rejections and verification of accuracy.
Runs disbursement queries and prepares payment remittance spreadsheets for each patient.
Processes and verifies accuracy of refund requests.
Prepares weekly billing spreadsheets for submission to hospital facility.
Processes final billing requests including department notification, verification of charge submission and payment receipt and forwards to hospital facility.
Assists with special accounts receivable projects.
Meets with clinical department staff to discuss payer issues.
Other duties as assigned by the supervisor 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 are also available for your continued childcare needs.
Adult care resources.
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.