Washington University is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity or expression, national origin, genetic information, disability, or protected veteran status.
This position is full-time and works approximately 40 hours per week.
Department Name/Job Location:
This position is in the Department of Pediatrics Central Administration. The position is located at 1234 S. Kingshighway. This position is for the Medical School Campus.
Position supports the AR Follow Up activities and credentialing process & facilitates enrollment process for all department of Pediatrics faculty and allied health providers.
PRIMARY DUTIES AND RESPONSIBILITIES:
Responsible for the enrollment of new providers with Medicare, Medicaid, Illinois Public Aid and Division of Specialized Care for Children. Complete and process provider enrollment applications for all new department physicians, nurse practitioners and allied health professionals.
Review, monitor and follow up on all items on the credentialing task list, including, but not limited to: assisting with the application process, making calls to WUPN, state agencies for required information to correct the list.
Complete applications to regularly re-enrolling/revalidate providers with state insurance plans as required by each state agency.
Annually updates provider licensure information with state agencies to ensure providers remain enrolled.
Performs follow up activities and projects for outstanding AR, including contacting payers and submitting documentation to facilitate reimbursement.
Works in Epic to track AR follow up activity.
Provides updates to Epic and MSOW via the provider portal, including onboarding information.
Assures the confidentiality and integrity of all aspects of the credentialing verification program and process.
Special projects as assigned by Manager, Credentialing, Supervisor, Insurance/Billing/Collection and Director, Revenue Cycle.
Equivalent of High School diploma.
2 years college or business school preferred.
3 years experience in business or medical setting.
Working knowledge of computers, and general office equipment.
Good organizational and working communication skills.
The hiring range for this position is $16.31 - $20.39 per hour.
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. Current employees applying for a new position within the university may be subject to this requirement. The screenings will include a criminal background check and, as applicable for the position, other background checks, drug screen, 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.
Please attach a copy of your most current signed performance evaluation (completed within the last 18 months) to your online account. If you have not received a performance evaluation, you may provide two current signed letters of recommendation (written within the last 18 months), preferably to include one letter from either a current or recent former supervisor. To attach these documents, go to: My Career Tools, Add Attachment, Attachment Type – Performance Reviews or Letters of Recommendation.
Washington University in St. Louis, a medium-sized, independent university, is dedicated to challenging its faculty and students alike to seek new knowledge and greater understanding of an ever-changing, multicultural world. The University offers more than 90 programs and almost 1,500 courses leading to bachelor's, master's and doctoral degrees in a broad spectrum of traditional and interdisciplinary fields, with additional opportunities for minor concentrations and individualized programs. The faculty is composed of scholars, scientists, artists and members of the learned professions. They serve society by teaching; by adding to the store of human art, creativity, understanding, and wisdom; and by providing direct services, such as health care.