Washington University is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity or expression, national origin, genetic information, disability, or protected veteran status.
This position is full-time and works approximately 40 hours per week.
Department Name/Job Location:
This position is in the Department of Pediatrics Ambulatory Care. We are looking to hire three positions from this posting and these positions are for our South County clinic and our clinic located at St. Louis Children’s Hospital.
Responsible for non-clinical interaction with patients and families.� Interacts directly with patients and families to schedule appointments, register demographics, obtain insurance information, and enter the information into the IDX system.� Determines and collects co-payments, percentage payments, and self-payments.� Obtains or verifies referrals for managed care plans. Responsible for pre-arrival work as it relates to patient registration and insurance eligibility.� Works under the direct guidance of the Clinical Office Supervisor and the administrative guidance of the Director of Clinical Services.
PRIMARY DUTIES AND RESPONSIBILITIES:
Responsible for ensuring that the HIPAA Privacy Notice has been offered, consent form initialed and signed, and acknowledgement of this is documented in IDX.� Maintains a 95% compliance rate of documentation of NPP in IDX.
Obtain and enter into the IDX fields all demographic and insurance information completely and accurately after parent review of face sheet. Print new face sheet if any changes. Insurance and Demographic information must be verified each visit and verification must be documented in IDX.� Maintains a 95% compliance rate of completing all required registration fields.
Determine required payments from Appointment Manager. Collect the payment, print receipt and document in IDX. Update co-payment information in patient registration in AVM.� Co-pay collection rate must be 87% or greater.
Offer Patient Portal. Document in IDX and update the icon in EMR at POS. Obtain patient consent for patients over 12 years of age.
Check insurance information two weeks prior to visit, contact PCP for referrals as needed, enters referral information into the IDX scheduling system. If no referral information prior to visit, obtain day of visit.� If unable to obtain referral, the physician must be notified.
Verify insurance eligibility on all patients before the date of service.� All Medicaid must be verified on each date of service. All other plans must be verified when the patient is new to IDX, the insurance has been changed, or it is greater than 180 days since last insurance verification. Verification should be done through e-commerce, WEBMD, contacting the insurance company or by past payment history.
Assign SLCH medical record numbers for all new patients when reviewing the pre-arrival work list.
Schedules new and return patient appointments.
Reviews physician schedules in EMR for completion of Encounter form. Send task to division charge follow-up team if encounter form was not completed.
Follow POS Payment Policy at end of day closing procedures.
Disburse parking validation with each visit.
Screen patients for potential infection control problems and assist in follow-up to assure patient / family safety.
Correct duplicate accounts that have been created.
Responsible for following HIPAA regulations at end of day closing: all pre-arrival work lists and division worksheets are placed in locked file cabinet behind locked office door.
Maintains HIPAA compliance, skills/competencies and participates in in-services, staff programs, continuing education and cross training programs according to established standards and Washington University policies.
Compiles with OSHA, state and federal regulatory sources/standards.
Performs other duties as assigned.
High school diploma or equivalent high school certification required with three years of experience in billing systems and third-party claims and/or experience in a medical office setting or related customer service/office experience.
REQUIRED LICENSURE/CERTIFICATION/REGISTRATION: Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements).
Three years of experience with electronic scheduling and registration.
Demonstrated computer literacy.
Type 40 WPM.
Demonstrated interpersonal skills and working knowledge of insurance and financial options.
Interactive communication skills with the ability to work with physicians, patients, families, significant others and support staff.
Strong organizational and telephone skills.
The hiring range for this position is $15.85 - $19.43 per hour.
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. Current employees applying for a new position within the university may be subject to this requirement. The screenings will include a criminal background check and, as applicable for the position, other background checks, drug screen, 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.
Please attach a copy of your most current signed performance evaluation (completed within the last 18 months) to your online account. If you have not received a performance evaluation, you may provide two current signed letters of recommendation (written within the last 18 months), preferably to include one letter from either a current or recent former supervisor. To attach these documents, go to: My Career Tools, Add Attachment, Attachment Type – Performance Reviews or Letters of Recommendation.
Washington University in St. Louis, a medium-sized, independent university, is dedicated to challenging its faculty and students alike to seek new knowledge and greater understanding of an ever-changing, multicultural world. The University offers more than 90 programs and almost 1,500 courses leading to bachelor's, master's and doctoral degrees in a broad spectrum of traditional and interdisciplinary fields, with additional opportunities for minor concentrations and individualized programs. The faculty is composed of scholars, scientists, artists and members of the learned professions. They serve society by teaching; by adding to the store of human art, creativity, understanding, and wisdom; and by providing direct services, such as health care.