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Washington University in St Louis
Remote - Missouri
Source: Washington University in St Louis careers · View original posting
From Washington University in St Louis's posting. “We” and “our” refer to the employer.
Location
Remote, US

 Scheduled Hours
40
Position Summary
The Pre-Arrival Team Lead coordinates daily assignments to ensure the team’s ability to complete high volumes in a timely manner. Responsible for team’s accuracy of registration and insurance plan/FSC information of patient accounts. Additionally, the Pre-Arrival Lead coordinates the workload and processes for obtaining procedure authorizations and referrals. Acts as a resource to staff in their team and others.
This position requires heavy call volume to insurance companies, third party administrators, physician offices, and employers to verify eligibility, obtain referrals and authorizations, and to obtain specific benefit information pertaining to oncology visits.
Job Description
Lead your assigned teams- Eligibility, Benefits or Referral, in daily activities and the prioritization of tasks. Assist in adjusting assignments based on coverage needs of the entire unit.
Work daily assignments in the Eligibility, Benefits and Referrals, which include, but not limited to:
Work eligibility and/or referral pre-arrival alerts in Alerts Manager.
Coordinate, obtain and accurately document and communicate referrals and authorizations.
Accurately convert Generic Plans into P plans on daily basis.
Accurately assign a FSC/Plan or ascertain integrity of existing plan/FSC.
Contact Payer/ TPA by phone regarding eligibility.
Contact Payer/TPA by phone to complete a worksheet for benefits pertaining to Oncology visits/treatments.
Contact patients when necessary to discuss self-pay status, non-contracted plans and financial options. Refer patients to financial counselors.
Access BJH system and various web sites for insurance/eligibility information.
Identify registration issues related to visits and invoices.
Support clinical areas for questions regarding registration, benefit and referrals. Send financial alerts and notifications to inform Divisions of potential financial liability.
Manage TES and ETM files as assigned by manager. Update invoices and redirect claims to appropriate payers when appropriate.
Send financial alerts/notification to Divisions to advise of potential financial liability.
Provide education and training to staff.
Provide feedback to management regarding staffing concerns and process improvement.
Other duties as assigned by manager.
Job Location/Working Conditions
Normal office environment.
Physical Effort
Typically sitting at desk or table.
Occasional lifting (25 lbs or less).
Equipment
Office equipment.
Compensation
$23.63 - $35.49 / 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 CandidateQuestions@wustl.edu 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.
LAYIQ is an independent job-discovery service. This listing does not imply a partnership with or endorsement by the employer. Review the original posting for current details and availability.
Employer posted:
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
High school diploma or equivalent high school certification or combination of education and/or experience.
No specific certification/professional license is required for this position.
Medical Billing/Coding (3 Years)
Not Applicable
A driver's license is not required for this position.
More About This Job
Previous pre-certification experience.
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