Location

SAINT LOUIS, MO 63110

Scheduled Hours

40

Position Summary

This position is a shared role with the Adult and Pediatric Pain Management divisions. It includes but is not exclusive to the following: Maintains documentation on procedures and processes and assists staff and clinicians as needed, with daily operations including pre-certification. Assists with current and develops new billing processes. Works with the billing and coding teams to provide oversight and coordinate the communication and implementation for new or improved billing practices. Creates processes to reduce and recover lost revenue. Provides oversight and management of division WQs. Uses reporting to identify trends and changes for clinicians, pre-cert coordinators, and coders. Handles other special billing-related projects as needed to support the department and/or division. Participates on departmental level and divisional level project teams and handles various related projects on a routine or as needed basis.

Job Description

• Provides oversight to the internal billing related processes for Pain Medicine.
• Maintains current and concise working documentation of best practices for clinicians, pre-cert coordinators, and coders.
• Management of precertification and documentation for the Pediatric Pain clinics.
• Serves as liaison with EPIC, billing, coding, clinic staff, clinicians, and hospital teams to monitor and resolve billing discrepancies.
• Communicates system policies and helps educate staff to promote efficient flow of charge capture and billing for optimal reimbursement for the division.
• Advises department and divisional members on current system processes with recommendations for enhancement.
• Tests and coordinates new and changed processes prior to implementation.
• Provides training on new billing, documentation, or coding changes as needed.
• Oversees internal processes and monitors billing to reduce discrepancies with charge capture processes.
• Assists with audits of physician billed activities.
• Responsible for handling various projects, maintaining status of each and coordinating with others as needed.
• Serves on billing workgroup committees and teams as needed.
• Participates in department level and divisional level project teams as assigned and may assume leading roles as appropriate.
• Serves as the liaison with FPP I.S., PBS and BJH to coordinate and resolve issues including resolution of wrong patients billed, duplicate accounts, and billing related HIPAA issues.

Working Conditions:
Job Location/Working Conditions:

• Normal office environment.

Physical Effort:

• Typically sitting at desk or table.

Equipment:

• Office equipment.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education:

High school diploma or equivalent high school certification or combination of education and/or experience.

Certifications/Professional Licenses:

No specific certification/professional license is required for this position.

Work Experience:

Relevant Experience (5 Years)

Skills:

Not Applicable

Driver's License:

A driver's license is not required for this position.

More About This Job

Preferred Qualifications:

• Experience in medical billing and insurance.
• Working organizational and communication skills that require dealing with individuals at various levels of management.
• Understanding of Pain Medicine authorization, documentation, and billing processes.
• Working organizational and communication skills that require dealing with individuals at various levels of management.
• Excellent command and understanding of system programs and applications. ling with individuals at various levels of management.

Preferred Qualifications

Education:

No additional education unless stated elsewhere in the job posting.

Certifications/Professional Licenses:

No additional certification/professional licenses unless stated elsewhere in the job posting.

Work Experience:

No additional work experience unless stated elsewhere in the job posting.

Skills:

Communication, Supervisory Management

Grade

G10

Salary Range

$49,700.00 - $82,100.00 / Annually

The 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 one's 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 email [email protected] or call the dedicated accommodation inquiry number at 314-935-1149 and 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.

Pre-Employment Screening

All external candidates receiving an offer for employment will be required to submit to pre-employment 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 U-Pass 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? We’ve got you covered.

• WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.

For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/

EEO Statement

Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.