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Insurance Claims Processing Specialist
2 months ago
40
Position Overview
This role is responsible for conducting follow-up activities related to insurance billing and collections, managing a minimum of 30 claims daily; making collection calls, ensuring the accuracy and completeness of claims, and liaising with insurance providers and collection agencies to expedite payments for medical services rendered.
Job Responsibilities
Key Duties
- Conducts follow-up on collections for various financial categories, including commercial insurance, self-pay, Medicare, and Medicaid claims.
- Initiates collection calls to insurance entities and patients to facilitate prompt payment of claims.
- Analyzes remittance advices for discrepancies and verifies payment accuracy.
- Ensures the accuracy and completeness of charge tickets, overseeing necessary attachments for claims to maximize reimbursement.
- Communicates with insurance companies regarding payment postings and collaborates with collection agencies on payment reports.
- Addresses inquiries and requests from insurance providers.
- Assists the customer service team in resolving billing and collection inquiries.
- Provides backup support for Accounts Receivable personnel during peak periods, absences, or illnesses.
- Contributes to the training of team members.
Proficient in computer usage, general office equipment, telephone systems, medical terminology, collection strategies, and communication skills that respect confidentiality.
Required Skills
- High school diploma or equivalent certification.
- Two to three years of relevant experience in bookkeeping/accounting and/or medical collections.
C06-H
Compensation Range
$25.40 / Hourly
The compensation range reflects base salaries for roles within a specific job grade across the institution. Individual compensation will be influenced by qualifications, performance, departmental equity, market rates, and budget considerations.
Inquiries
For common questions regarding the application process, please refer to the External Applicant FAQ.
Accommodation
If you require assistance with our online application system, please reach out for accommodation options.
Pre-Employment Screening
All external candidates receiving a job offer will undergo pre-employment screening, which may include background checks, drug screening, and verification of employment and education credentials. All offers are contingent upon successful completion of required screenings.
Benefits Overview
Personal
- Up to 22 days of vacation, 10 recognized holidays, and sick leave.
- Competitive health insurance plans with priority appointments and reduced copays/coinsurance.
- Options for improved commuting, including a free Metro transit U-Pass for eligible employees and a forgivable home loan for eligible neighborhoods.
- Defined contribution (403(b)) Retirement Savings Plan with contributions starting at 7%.
- Wellness initiatives, annual health assessments, mental health resources, mindfulness programs, and employee assistance programs.
- Four weeks of caregiver leave for bonding with a new child and resources for childcare needs.
- Tuition coverage for employees and their families, including dependent undergraduate tuition at WashU and a percentage elsewhere after a specified duration of employment.
EEO/AA Statement
Washington University in St. Louis is committed to equal employment opportunity and encourages applications from individuals of diverse backgrounds. The University provides equal opportunity and access to all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.
Diversity Commitment
Washington University is dedicated to fostering a diverse community of individuals who contribute to an inclusive environment, promoting respect for all and welcoming individuals from various backgrounds and experiences.
