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

• 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, D