Patient Billing/Services Representative II - Pediatrics

Posted:
7/18/2024, 5:00:00 PM

Location(s):
St. Louis, Missouri, United States ⋅ Missouri, United States

Experience Level(s):
Junior ⋅ Mid Level ⋅ Senior

Field(s):
Medical, Clinical & Veterinary

Workplace Type:
On-site

Scheduled Hours

40

Position Summary

This position will be the initial contact for youth seeking services at The SPOT and therefore serves a critical role to offer a welcoming, affirming introduction to the center, and registering them for services. The SPOT is a high volume youth center for ages 13-24 and offers medical and behavioral health services. The role requires excellent organizational skills, ability to multi-task in a fast-paced environment, detailed-oriented documentation, and effective communication with youth and staff.

Job Description

Primary Duties and Responsibilities

Clinic Registration

  • Registers all youth who seek services at The SPOT using both electronic and paper data collection to ensure required patient information (demographics, insurance, consents) is collected and entered into all necessary electronic systems to provide requested services.
  • Conducts patient registration and patient record updates for youth utilizing specialty clinics through Epic, the University/BJC electronic record system, to maintain the flow of the medical clinic process and ensure patient records are updated.  

Assists with Billing Processes

  • Obtains insurance information from patients and counsels alternative ways for financial assistance.
  • Explains billing process to patients; answers incoming inquiries from patients and third-party payers.
  • Explains billing process to other IBC staff; assists with basic account maintenance activities.
  • Assists patients with insurance questions regarding the billing process.
  • Assists medical team with triage of patients by doing a brief assessment of needs when patients check in for walk-in medical services.
  • Ensures all registration paperwork is stocked for next day and evening registration staff use

Patient Scheduling

  • Reviews the clinic appointment schedule and updates as needed. 
  • Schedules initial and return patient appointments for specialty clinics and psychiatry using Epic and obtain and upload necessary documentation for appointment, with patient on-site or by phone/electronic methods.
  • Conducts appointment reminder calls. 

Patient Records

  • Maintains updated and complete patient Epic records by addressing daily work que items and uploading documentation to Epic charts (i.e., consents, insurance cards, etc.).
  • Routes incoming faxes to medical records or appropriate staff/team. 
  • Uploads patient medical records, laboratory results and other documentation into Epic.
  • Participates in team meetings and Quality Improvement activities, which includes using reports to monitor own data entry to ensure complete and updated patient records and team QI activities as assigned.

Patient/Program Communication

  • Responds to youth questions and concerns during SPOT service hours utilizing a Positive Youth Development model that views youth as active partners and empowers them to self-direct how to use the available services.  
  • Manages incoming phone calls for The SPOT by providing information about services and routing calls to appropriate team members.
  • Coordinates transition of clinic services and client needs with evening registration staff at the end of the day
  • Assists the Director of SPOT Programs with maintaining effective means of youth communication (i.e., signage, voicemail message, etc.) and other administrative duties as assigned. 

Performs other duties as assigned, including providing support to the Adolescent Medicine administrative team. 

Working Conditions

Office environment within a clinical office setting; fast-paced with frequent interruptions.

Preferred Qualifications 

  • Demonstrated effective written, verbal, and interpersonal communication skills to interact with physicians, other staff, and patients
  • Working knowledge of insurance and financial options.
  • Professional demeanor with ability to use various software packages
  • Demonstrated decision-making skills and ability to work independently
  • Working knowledge of general office equipment and computers (user knowledge of Microsoft Office and Epic helpful).
  • Energetic and exhibit a positive attitude
  • Ability to maintain confidentiality and multi task
  • Willing to support a culture of positive youth development and inclusivity for all youth receiving services
  • Knowledge of sexual health services or a comfort with working in an environment where youth are receiving HIV/STI testing, treatment, contraception.

Required Qualifications

  • High school diploma or equivalent high school certification 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 or an equivalent combination of relevant education and experience.
  • Basic Life Support certification. (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements.). BLS certification must be obtained within one month of hire date.

Grade

C06-H

Salary Range

$17.34 - $25.40 / Hourly

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.

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.

  • Want to Live Near Your Work and/or improve your commute? Take advantage of our free Metro transit U-Pass for eligible employees. We also offer a forgivable home loan of up to $12,500 for closing costs and a down payment for homes in eligible neighborhoods.

  • 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/AA Statement

Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. 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, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.

Diversity Statement

Washington University is dedicated to building a diverse community of individuals who are committed to contributing to an inclusive environment – fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.