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 Central Administration. This position is for the Medical School Campus.
Performs activities in support of revenue cycle management. Runs reports to ensure charge capture, analyzes billed volumes, reimbursement and payment trends, reviews coding changes, denials as well as prepares reports to measure clinical volumes, physician productivity, reimbursement, and other key financial and clinical indicators. Recommends changes in procedures and processes which lead to increased reimbursement.
PRIMARY DUTIES AND RESPONSIBILITIES:
Performs routine audits to reconcile hospital and outpatient clinical activities for charge capture.
Monitors reimbursement functions by reviewing denials, code changes, documentation and write-offs.
Identifies problem areas and assists management with implementing solutions to maximize collections and minimize write-offs.
Utilizes database systems available through WUSM and SLCH to develop and update customized reports (Cognos Powerplay/Producer, EPIC, Prism Portal, IDX/GE Centricity,DBMS).
Develops reports which provide Division Directors and Clinical Administration key clinical and reimbursement information. Summarizes trends and opportunities.
Acts as liaison with Pediatrics Accounts Receivable and Coding Supervisors to establish claim edits, improve collections, ensure billing compliance with documentation standards, and assist with training of physicians as needed.
Provides support to Clinical Operations Manager to complete fiscal yearend divisional reports and annual budget revenue projections.
Prioritizes and completes in a timely manner a high volume of ad hoc reports and Special Projects as assigned.
Adapts to change
Accepts responsibility for learning
Strong communication and interpersonal skills
Follows policies and procedures
Equivalent of Bachelor’s Degree in Business/Accounting with 5 plus years of experience in accounting, financial, auditing or related field, including word processing and spreadsheet.
Minimum three years of experience in billing or patient accounts operations, certified coder preferred.
Astute analytical skills and be proficient with database queries, Excel Spreadsheets, Access, GE Centricity, and Cognos.
Working knowledge of coding, insurance and billing requirements, as well as the ability to communicate in a clear and concise manner, foster positive relationships with other divisions, departments and support areas, remain flexible, and work well under the pressure of deadlines.
The hiring range for this position is $46,113 - $58,801 annually.
-Retirement Savings Plan -22 vacation days -8 Paid Holidays -Sick Time -Tuition benefits for employee, spouse and dependent children -Free Metro Link/ Bus pass -Free Life Insurance -Health, Dental, Vision -Health Savings Accounts (HSA) -Long Term Disability Insurance -Flex Spending Plan -Other Benefits
Med School HR website (medschoolhr.wustl.edu)
Internal Applicant Instruction:
This position is grade G10.
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 interdisciplin...ary 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.