Transplant Billing Analyst (Hybrid) - Physician Billing Services

Location St. Louis, MO 63110

 Scheduled Hours 40 Position Summary Responsible for follow-up insurance billing and collection activities, verifying accuracy and completeness of claims, contacting insurance companies and other related duties to expedite payments from various payers for physician services. Responsible for preparing payment disbursements, researching refund requests and private physician bills.

Updates and maintains global transplant patient listing based on transplant phase and payer information. Job Description Primary Duties & Responsibilities: Performs collection follow-up duties for global transplant payers to ensure timely and accurate payment of physician charges and hospital charges. Responds to questions and requests received from clinical departments, insurance companies and hospital facilities.

Reviews correspondence and remittances for rejections and verification of accuracy. Runs disbursement queries and prepares payment remittance spreadsheets for each patient. Processes and verifies accuracy of refund requests. Prepares weekly billing spreadsheets for submission to hospital facility. Processes final billing requests including department notification, verification of charge submission and payment receipt and forwards to hospital facility.

Assists with special accounts receivable projects. Meets with clinical department staff to discuss payer issues. Other duties as assigned by the supervisor or manager. Working Conditions: Job Location/Working Conditions Normal office environment Primarily remote with the exception of coming into the office at least once a month. Physical Effort Typically sitting at a 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: Insurance Or Collection In A Healthcare Environment (2 Years) Skills: Electronic Medical Billing, ICD 9 and CPT Coding Driver's License: A driver's license is not required for this position. More About This Job Preferred Qualifications: Familiarity with diagnosis, physician and hospital coding. Must meet established productivity and quality assurance standards to ensure effective collections and claim resolutions.

Necessary to review and understand billing and collection guidelines for several different global transplant contracts. 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, Medical Billing and Coding Grade C08-H Salary Range $21.33 - $31.98 / 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.

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