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UMSL Eye Care Patient Account Specialist

Employer
University of Missouri - St. Louis
Location
Missouri, United States
Salary
Salary Not Specified
Posted Date
Dec 1, 2022
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Job Description

BASIC FUNCTION AND RESPONSIBILITY

This position works directly with the Patient Accounts Manager and Senior Patient Account Specialist to maximize center revenue while controlling accounts receivable. Responsibilities include reconciliation of patient accounts, claims processing, communicating with insurance, responding to requests for additional information, and posting reimbursement. In addition this position will also assist in preparing clinic schedules by running insurance eligibility and generating authorizations.

CHARACTERISTIC DUTIES
  • Check patient eligibility and generate authorizations
  • Reconcile patient ledgers to insurance remittance
  • Properly document account activity
  • Generate patient statements for approval/release
  • Balance daily payment reports against checks received to prepare for deposit
  • Communicate effectively with clinic staff and faculty, be a resource for questions related to insurance, patient accounts, authorizations, refunds, etc.
  • Submit electronic claim batches, print and mail paper claims, and input claim data into insurance portals as needed
  • Research and file denied/unpaid claims
  • Understand the appeals process including claim review, reconsideration, and determination as needed to ensure proper reimbursement
  • Access and review updates to the insurance provider manuals
  • Complete remittance review audits as requested and communicate results to the billing staff
  • Maintain a departmental filing system to include insurance communication such as policy updates, remittance advice, and documentation of unpaid claims
  • Type correspondence, reports, and other materials as needed
  • Answer telephone, route calls, and answer routine questions
  • Record, type, and distribute minutes of departmental meetings
  • Assist with special projects and assignments such as record maintenance, evaluation of insurance reimbursements, organizing daily activities, and prioritizing work
  • May be required to perform other duties as assigned
SUPERVISION RECEIVED

Direct supervision is received from the Patient Accounts Manager

SUPERVISION EXERCISED

No Supervision exercised

Applicants must be authorized to work in the United States. The University will not sponsor applicants for this position for employment visas.

Shift

Day Shift 40 Hrs/week

Salary

Pay commensurate with education and experience.
Pay Range: $17.06 to $18.00 hourly
Grade: GGS-007
University Title: FINANCE AND ACCOUNTING SPECIALIST

Minimum Qualifications

An associate’s degree or an equivalent combination of education and experience and at least two years of experience from which comparable knowledge and skills can be acquired are necessary

Preferred Qualifications

General understanding of billing and coding terminology preferred but not required (CPT, HCPCS, ICD-10, CMS 1500, EDI, and EHR)

Previous experience with claims filing and accounts receivable preferred but not required

Application Materials

Cover letter and resume should be uploaded with application to the UMSL Job site: http://umsl.jobs

Inclusive Excellence Statement

As one of the most culturally and ethnically diverse campuses in Missouri, UMSL is committed to maintaining a climate where all students, faculty, staff and visitors can explore their interests, refine their talents and flourish. Inclusive excellence is embedded in our strategic plan which focuses on actions to recruit and retain diverse students and employees and promote activities that encourage civil and constructive discourse, reasoned thought and sustained dialogue in an environment of inclusion, respect and appreciation.

Benefit Eligibility

The University of Missouri - St. Louis offers benefit-eligible employees a wide variety of benefits including: health, dental and vision coverage effective on the first day of employment, retirement, paid time off, tuition assistance for employees and their dependents and employee and dependent life insurance. For more information about our benefits, please visit:

https://www.umsystem.edu/totalrewards/benefits

Diversity Commitment

Equal Opportunity is and shall be provided for all employees and applicants for employment on the basis of their demonstrated ability and competence without unlawful discrimination on the basis of their race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity, gender expression, age, disability, protected veteran status, or any other status protected by applicable state or federal law. This policy shall not be interpreted in such a manner as to violate the legal rights of religious organizations or the recruiting rights of military organizations associated with the Armed Forces or the Department of Homeland Security of the United States of America.

English Version
  • EEO is the Law Spanish Version
  • EEO is the Law Chinese Version
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