Patient Billing/Services Representative II - Otolaryngology

Front Desk Team Member

Offering a 4-day / 10-hour work schedule option, Washington University Otolaryngology (Ear, Nose, and Throat) Sunset Hills Clinic is looking for a new front desk team member. Excellent patient care starts from the moment a patient walks in the door, and we are looking for a friendly face to welcome patients as they begin their visit to our ENT clinics. Our patients present with many challenges and we work hard to give them the highest level of customer service and coordinated care in our multidisciplinary setting. Our front desk team members collaborate with clinical staff and with other team members working off-site to create a patient-centric experience. If you have medical office scheduling experience and are looking for a patient-facing position that offers the opportunity to grow and learn as part of a cohesive team, we would love to meet you!

The Patient Service Representative II (PSRII) is responsible for capturing, updating and verifying patient demographic and current insurance information to ensure maximum reimbursement for the Otolaryngology department. PSRs also schedule patient follow-up visits for providers. The PSR will serve as a liaison between consumers (staff, patients, healthcare professionals and general public) and advocates the patients' needs.

Primary Duties & Responsibilities:

• Responsible for working on pre-arrival alerts. (i.e., insurance, referrals, etc.).
• Updates and verifies patient insurance, billing and demographic information in EPIC for reimbursement for the patient visit. Checks eligibility either electronically or manually as needed.
• Collects fee for service (copay, deductible, self-pay, cosmetic services, consults and surgery pre-pays and past balances etc.) and records in EPIC.
• Checks patient in through EPIC and updates, demographics, insurance; verifies referrals received, scanned and linked to appointment.
• Schedules return patient appointments, patient testing and procedures.
• Contacts insurance companies for pre-certification of tests and orders; arranges peer to peer as needed.
• Maintains familiarity with insurance companies and their reimbursement policies.
• Balances cash drawer daily and prepares daily bank deposits.
• Answers incoming department telephone line.
• Checks patient out and prints After Visit Summaries (AVS) for patient.

Other Functions:

• May float to other locations to cover as needed.
• Scan all documents from outside WU or clinical documents into medical record through EPIC.
• Upload imaging disks to PowerShare.
• Other duties as assigned.

Working Conditions:

• Location: primary Sunset Hills Center for Advanced Medicine; may float to other locations as needed
• Normal office environment.
• Patient care setting.

Physical Effort:

• Typically sitting at desk or table.
• Repetitive wrist, hand or finger movement.

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:

• High school diploma or equivalent high school certification or combination of education and/or experience.
• Basic Life Support - American Heart Association, Basic Life Support - American Red Cross
• Billing Systems And Third-Party Claims And/Or Medical Office Setting, Related Customer Service (3 Years)

More About This Job:

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:

• Customer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration

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.

Benefits Statement:

• 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 challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
• 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.

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