Answer patient questions regarding billing statements and
insurance coverage.
Telephone, write or fax insurance companies with unpaid
insurance claims to obtain settlement of claim.
Prepare forms outlining expenses for governmental, welfare and
other agencies paying for specified patients. Explain benefit
coverage to patient.
Record insurance payments and close out file when paid in full.
Prepare unpaid claims for transfer to collection agencies.
Process insurance and/or payment claims, including submission,
follow up and payment application in accordance with all department
productivity and accuracy standards.
Utilize multiple internal and external computer programs and
applications to process billing submissions and achieve prompt and
optimum payment processing and deposit.
Review and analyze billing edits, errors, unpaid claims etc and
resolve within scope of authority.
Analyze and determine appropriate action to be taken on
inquiries from patients and payers and resolve within scope of
authority.
Analyze and monitor trends and problems pertaining to patient
billing, provide documentation, and report/recommend action to
Supervisor.
Monitor and evaluate patient accounts and refer delinquent
accounts for collection, and may participate in collection
activities.
May verify insurance coverage and conduct credit checks.
May make arrangements for, and confirm, payments including
financial assistance and self-pay payments.
Remain knowledgeable of federal, state and payer billing
regulations and conduct all activities within established
regulatory requirements.
May be required to perform other duties as assigned.
SUPERVISION RECEIVED
Direct supervision is received from the Manager, Business/Fiscal
Operations.
SUPERVISION EXERCISED
No supervision exercised.
Shift
40 hrs/ week. Monday thru Friday
Minimum Qualifications
An Associate's degree or an equivalent combination of education and
experience and at least 2 years of experience from which comparable
knowledge and skills can be acquired is necessary
Preferred Qualifications
An associate's degree or greater is desired.
Anticipated Hiring Range
$17.40 to $23.85
Grade: GGS-007
University Title: FINANCE AND ACCOUNTING SPECIALIST
Internal applicants can determine their University title by
accessing the Talent Profile tile in myHR.
Application Materials
- Application materials include a cover letter and resume.
Finalists will be asked to provide references at a later date.
- Applicants must combine all application materials into one PDF
or Microsoft Word document and upload as a resume attachment to the
UMSL Careers: https://www.umsl.edu/services/hrs/careers/index.html
- Limit document name to 50 characters. Maximum size limit is
11MB. Do not include special characters (e.g., /, &, %, etc.).
For questions about the application process, please email
employment@umsl.edu. If you are experiencing technical problems,
please email umpshrsupport@umsystem.edu.
Sponsorship Information
Applicants must be authorized to work in the United States. The
University will not sponsor applicants for this position for
employment visas.
Benefit Eligibility
This position is eligible for University benefits. As part of your
total compensation, the University offers a comprehensive benefits
package, including medical, dental and vision plans, retirement,
paid time off, short- and long-term disability, paid parental
leave, paid caregiver leave, and educational fee discounts for all
four UM System campuses. For additional information on University
benefits, please visit the Faculty & Staff Benefits website at
https://www.umsystem.edu/departments-staff/human-resources/benefits-retirement
Equal Employment Opportunity
The University of Missouri is an
Equal Opportunity Employer.
To request ADA accommodations, please email the Office of Human
Resources at umslhr@umsl.edu.
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