Job Description
- Check patient eligibility and generate authorizations
- Reconcile patient ledgers to insurance remittance
- Properly document account activity
- Generate patient billing statements for approval/release
- Balance daily payment reports against checks received to prepare for deposit
- Communicate effectively with clinic staff and faculty, be a resource for questions related to insurance, patient accounts, authorizations, refunds, etc.
- Submit electronic claims through the billing software, print and mail paper claims, and input data into payor portals as needed.
- Research and refile denied/unpaid claims
- Understand the insurance appeals process including claim review, reconsideration, and redetermination as needed to ensure proper reimbursement
- Access & review updates to the insurance provider manuals to ensure accurate billing procedures
- Complete remittance review audits as requested and communicate results to the billing staff
- Maintain a departmental filing system to include insurance communication such as policy updates, remittance advice, and documentation of unpaid claims
- Type correspondence, reports, and other materials as needed.
- Answer telephone, route calls, and answer routine questions.
- Record, type, and distribute minutes of departmental meetings.
- Assist with special projects and assignments such as record maintenance, evaluation of insurance reimbursements, organizing daily activities and prioritizing work.
- May be required to perform other duties as assigned.
Applicants must be authorized to work in the United States. The University will not sponsor applicants for this position for employment visas.
Shift
MONDAY-FRIDAY 8:00AM - 5:00PM
Minimum Qualifications
An Associate's degree or an equivalent combination of education and experience and at least 2 years of experience from which comparable knowledge and skills can be acquired is necessary
Preferred Qualifications
- An Associate's degree or an equivalent combination of education and experience and at least 2 years of experience from which comparable knowledge and skills can be acquired is necessary
- General understanding of billing and coding terminology preferred but not required (CPT, HCPCS, ICD-10, CMS 1500, EDI, and EHR)
- Previous experience with claims filing and accounts receivable bookkeeping preferred but not required
Anticipated Hiring Range
Salary Range:$18.00 - $20.50 Grade: GGS-007 University Title: Internal applicants can determine their University title by accessing the Talent Profile tile in myHR.
Application Materials
- Application materials include a cover letter and resume. Finalists will be asked to provide references at a later date.
- Applicants must combine all application materials into one PDF or Microsoft Word document and upload as a resume attachment to the UMSL Careers:
https://www.umsl.edu/services/hrs/careers/index.html - Limit document name to 50 characters. Maximum size limit is 11MB. Do not include special characters (e.g., /, &, %, etc.). For questions about the application process, please email employment@umsl.edu. If you are experiencing technical problems, please email umpshrsupport@umsystem.edu.
Benefit Eligibility
This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, short- and long-term disability, paid parental leave, paid caregiver leave, and educational fee discounts for all four UM System campuses. For additional information on University benefits, please visit the Faculty & Staff Benefits website at https://www.umsystem.edu/totalrewards/benefits. Equal Employment Opportunity The University of Missouri is an Equal Opportunity Employer.
To request ADA accommodations, please email the Office of Human Resources at umslhr@umsl.edu.
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