Reporting Services Analyst II - Physicians Billing Service
Washington University in St. Louis
Location: St. Louis, Missouri
Internal Number: JR70446
Provide maintenance and one-on-one training for the Patient Financial Services Experian/MPV Low Pay Database. Provide monthly payer payment analysis for clinical departments using Experian/MPV low pay tools to assure accurate and full reimbursement from payers. Manage submission of low pay appeals and work with payer representatives in regard to global low pay issues. Provide analysis and appeals of monthly, school-wide Experian/MPV Low Pay Database variance âœsweepâ report. Provide back-up coverage of FSC Wizard Database maintenance.
Some travel to the Medical School, Clinical Departments and Seminars.
Primary Duties & Responsibilities
Â Experian/MPV Low Pay Database Support
Responsible for providing contract fee updates as well as insurance representation of Patient Financial Services (PFS) Experian/MPV Low Pay Database.Â Works closely with Experian/MPV contact and WUPN to assure contracts information are correct and concise.
Responsible for providing one-on-one Experian/MPV Low Pay Database training to staff.
Responsible for analysis of monthly Experian/MPV low pay variance report for multiple departments and the monthly school-wide Experian/MPV low pay variance âœsweepâ report in addition to the low pay appeal process.
Work closely with plan provider representatives in regard to low pay issues and the monitoring of low pay appeals.
Maintain timely follow-up of appeals for assigned departments.
Proficient at using the following PC applications:
Skilled communicator, tactful, courteous and concise.
Maintain a highly professional demeanor as a representative of WU-Physician Billing Services.
Organized in material, thought and action regarding a variety of duties.
Maintain patient confidentiality regarding financial and medical information.
Set personal goals and office goals; fully participate and complete tasks within time specified.
Critical thinking and âœthinking outside the boxâ skills.
Equivalent of Bachelorâ™s degree in business, health information management, or related field and two years experience in a health care or business environment.
Extensive experience with spreadsheet software and financial reporting preferred.
Knowledge of ICD-9-CM and CPT coding systems preferred.
$22.25 - $34.45 / HourlyThe 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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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.
Washington University in St. Louis is committed to providing a comprehensive and competitive benefits package to our employees. Benefits eligibility is subject to employment status, full-time equivalent (FTE) workload, and weekly standard hours. Please visit our website at https://hr.wustl.edu/benefits/ to view a summary of benefits.
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