Scheduled Hours

40

Position Summary

This position is 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). This position will utilize 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. Additionally, this position will process 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:

• Work 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. 40%

• Communicate with patients and process payments prior to service date. 25%.

• Work 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. 15%

• Routinely interact 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. 15%

• Other duties as assigned. 5%

Working Conditions:

Job Location/Working Conditions

• Normal 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.

Certifications:

No specific certification is required for this position.

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

Washington University seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles.

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:

College Or Business School (2 Years)

Skills:

Communication, Computer Literacy, Confidential Data Handling, Medical Terminology, Office Equipment, Payment Collections, Telephone System

Grade

C08-H

Salary Range

$20.57 - $30.84 / 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