PatientBilling Services Representative II - Pediatrics Hematology Oncology
PatientBilling Services Representative II - Pediatrics Hematology Oncology
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Job Description
Scheduled Hours
40Position Summary
Responsible for nonclinical 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 EMR. Determines and collects copayments percentage payments and selfpayments. Obtains or verifies referrals for managed care plans. Responsible for prearrival work as it relates to patient registration and insurance eligibility. Works under the direct guidance of the Charge Nurse and the administrative guidance of the Director of Clinical Operations and Clinical Manager and Supervisor.Job Description
Primary Duties & Responsibilities:
Responsible for ensuring that the HIPAA Privacy Notice has been offered consent form initialed and signed and acknowledgement of this is documented in EMR.
- Obtain and enter into the EMR registration fields all demographic and insurance information completely and accurately. Insurance and Demographic information must be verified each visit and verification must be documented in EMR. Maintains a 95 compliance rate of completing all required registration fields.
- Determine required payments from the daily Provider list collect the payments and record.
- Check insurance information two weeks prior to visit contact PCP for referrals as needed enters referral information into the EMR 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.
- Assign SLCH medical record HAR numbers for all new patients when reviewing the prearrival work list and is required in EMR.
- Schedule new and return patient appointments.
- Arrive cancel or noshow Provider list daily.
- Verify accuracy and completion of charge documents.
- ICD9 and CPT coding of charge tickets for completion.
- 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 followup to assure patient / family safety.
- Correct duplicate accounts that have been created.
- Follow HIPAA regulations at end of day closing.
- Treat patients and families with care respect and professionalism
- Identify self and job function in all interactions with patients and families
- Ensure ID badge is visible at all times
- Maintain patient privacy at all times.
- Provide patients with clear and accurate information.
- Take action to continuously improve service
- Respond consistently to the needs of referring physicians and other health care professionals who are participating in the patients care.
- Create a positive work environment by treating all coworkers students and physicians with dignity and respect.
Working Conditions:
Job Location/Working Conditions 9th floor Office (SLCH). Moderate to high stress level. Frequent contact with patients families medical personnel and administrative personnel.
Normal office environment.
Patient care setting.
Physical Effort
Typically sitting at desk or table.
Repetitive wrist hand or finger movement.
Equipment
Office equipment.
Required Qualifications
Education:
High school diploma or equivalent high school certification or combination of education and/or experience.
Certifications:
Work Experience:
Skills:
Drivers License:
More About This Job
Required Qualifications:
- 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:
- Knowledge of EPIC or other EMR scheduling and insurance portal applications.
- Knowledge of third party reimbursement including HMO / PPO practices.
- Knowledge of medical terminology ICD9 coding and CPT coding.
- Basic knowledge of safety and infectious control practices.
- Well organized self motivated with strong interpersonal skills.
- Must be able to set priorities well.
- Knowledge of insurance plans and referrals.
- Type 40 WPM.
Preferred Qualifications
Education:
No additional education beyond what is stated in the Required Qualifications section.
Certifications:
Work Experience:
Skills:
Financial Information Insurance Interpersonal RelationshipsGrade
C06HSalary Range
$17.34 $25.40 / HourlyThe 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 ones qualifications and performance equity with others in the department market rates for positions within the same grade and department budget.Questions
For frequently asked questions about the application process please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation please emailor call the dedicated accommodation inquiry number atand leave a voicemail with the nature of your request.
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.PreEmployment Screening
All external candidates receiving an offer for employment will be required to submit to preemployment 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 UPass 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 Weve got you covered.
WashU covers the cost of tuition for you and your family including dependent undergraduatelevel college tuition up to 100 at WashU and 40 elsewhere after seven years with us.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
