Insurance Billing/Collection Assistant II - Occupational Therapy

Location & Schedule ST. LOUIS, MO 63108. Scheduled Hours 40. Position Summary Performs advanced billing and collection activities for Occupational Therapy. Completes authorizations for payment, verifies accuracy and completeness of claims, verifies insurance benefits via phone or insurance portal & assists with discounts, adjustments, and charge corrections. Primary Duties & Responsibilities Completes insurance authorizations accurately and verifies insurance coverage for services rendered. Collaborates with scheduling / registration team members to assure registrations are accurate and complete leading to efficient billing / collections. Provides estimates for services if requested. Completes assigned charge review and assures accuracy of submitted charges. Supports audit readiness and ensures compliance with payer and regulatory standards. Stays informed of changes in Medicare / Medicaid regulations and works with clinical manager and director to adjust workflows as needed. Collaborates with clinicians to obtain necessary documentation as needed. Completes insurance benefit collection for patients and ensures OT & DME benefits for services patient will be receiving. Maintains workflow continuity by supporting coworker responsibilities during absences. Provides training and operational support on an as-needed basis and performs other related duties as assigned. Job Location / Working Conditions Cortex One location with occasional hybrid ability. 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: No specific certification/professional license is required for this position. Work Experience: Bookkeeping/Accounting And/Or Medical Collection Setting (2 Years). Skills: Not Applicable. Driver's License: A driver's license is not required for this position. 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: No additional work experience unless stated elsewhere in the job posting. Skills: 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. Grade & Salary Grade C06-H Salary Range $17.89 - $26.35 / 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. Accommodation & Disability All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre‑Employment Screening All external candidates receiving an offer for employment will be required to submit to pre‑employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal: Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Take advantage of our free Metro transit U-Pass for eligible employees. WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness: Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family: We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered. WashU 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. For policies, detailed benefits, and eligibility, please visit: EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Company Culture Washington University in St. Louis' collective success is significantly attributed to the passion and outstanding efforts of our community. Our staff, faculty and trainees are committed to excellence and dedicated to carrying out our missions of research, teaching and patient care. WashU prides itself on being a place where people matter, and serious work is done. Our people work together in an inclusive community that celebrates diverse perspectives, collaboration and innovation. We are a community of individuals inspired to work together to develop big ideas and tackle challenging problems. We value the well-being of our people. WashU strives to create a positive employee experience where staff, faculty and trainees thrive, both personally and professionally. Our employees find meaning, connection and vitality in their work and life with a healthy work-life balance and support to learn, grow and make an impact at WashU, the community and the world. Regulatory Postings Know Your Rights: Workplace Discrimination is Illegal Poster (English; Spanish) Useful Links Who We Are Human Resources Benefits Living in St. Louis Frequently Asked Questions #J-18808-Ljbffr Washington University