Key skills
Communication
About this role
Role Overview
- Complete insurance verification
- Examination and tracking of insurance authorizations
- Validation of referral record accuracy
- Enter demographic and insurance/referral information into patient medical record
- Perform varied professional services to ensure therapy services are reviewed and completed efficiently
- Ensure maximum reimbursement with all payers by securing necessary authorizations
- Complete insurance verifications and updates in Epic EMR database
- Perform specialized duties with minimal supervision
- Copying and faxing medical records as required
- Contact necessary insurance companies for benefit verification and pre-certification of therapy procedures
- Notify coding staff for missing or inaccurate coded services
- Work with referring physician offices to provide updated orders
- Verify ICD-10 diagnosis application with review of Epic database for follow-up visits
- Collect data for internal/external requests
- Attend applicable meetings and report results
- Maintain open communication with providers and referring physicians
- Maintain log of pre-certifications in process
- Document and notify necessary parties of pre-certification when received
- Review, follow-up, and reconciliation of pre-arrival, patient, and financial work queues
Requirements
- High school diploma or equivalent high school certification or combination of education and/or experience
- 2 years of experience in Bookkeeping/Accounting and/or Medical Collection Setting
- Skills: Not Applicable
- A driver's license is not required for this position.
Benefits
- Up to 22 days of vacation
- 10 recognized holidays
- Sick time
- Competitive health insurance packages with priority appointments and lower copays/coinsurance
- Free Metro transit U-Pass for eligible employees
- Defined contribution (403(b)) Retirement Savings Plan starting at 7%
- Wellness challenges
- Annual health screenings
- Mental health resources
- Mindfulness programs and courses
- Employee assistance program (EAP)
- Financial resources
- Access to dietitians
- 4 weeks of caregiver leave to bond with your new child
- Family care resources for continued childcare needs
- Coverage of tuition for you and your family for dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.