Billing Audit Analyst

Who is Saint Louis University? Founded in 1818, Saint Louis University is one of the nation’s oldest and most prestigious Catholic universities. SLU, which also has a campus in Madrid, Spain, is recognized for world-class academics, life-changing research, compassionate health care, and a strong commitment to faith and service.

All About You

Job Summary

Under general direction, the Billing Audit Analyst performs regular billing compliance audits to ensure compliance with government and third-party payer requirements. Validates hospital/physician billing invoices, distributes them to appropriate departments for payment, and follows up on payment statuses in Workday.  Manages the encounter ticket process and verifies entries in the Clinical Trials Management System. Ensures research data integrity across various systems/databases.

Open to a remote employee in any of the following states if not living in the Greater St. Louis area: Alabama, Arizona, California, Colorado, Illinois, Indiana, Kansas, Maine, Massachusetts, Michigan, Minnesota, Missouri, New Jersey, North Carolina, Ohio, Oklahoma, Rhode Island, Tennessee, Texas, Utah, Virginia, West Virginia or Wisconsin. ​

Job Duties

• Performs billing compliance audits, including reviewing coverage analyses and actual billing statements for congruence as well as ensuring appropriate capture of physician and hospital services.

• Validates hospital/physician invoices and distributes them to individual departments. Performs periodic aging reports and follows up to address payment processing delays.

• Manages the encounter ticket process and verifies entries in the Clinical Trials Management System (CTMS).

• Performs other duties as assigned.

Knowledge, Skills, and Abilities

Knowledge of regulations and guidelines related to clinical research

Working knowledge of clinical research terminology and multiple medical conditions

Working knowledge of Medicare/Medical billing/coding processes and understanding of Medical and Research billing and coding utilizing CPT, ICD-10 and HCPCS

Knowledge of EPIC

Strong interpersonal and customer service skills

Excellent time management, organizational and multitasking skills

Ability to maintain confidentiality       

Salary/Benefits

Salary range $46,720 to $70,080, pay will be determined based on amount of relevant experience. This position also includes benefits including vacation and sick leave, health/dental/vision/life insurance, 403B retirement savings plan and match, tuition remission, employee assistance program and wellness program.

Minimum Qualifications

Bachelor’s degree, supplemented with two (2) years of related work experience or one-year medical billing, clinical trial billing or health insurance experience.

or

Associate degree, supplemented with four (4) years of related work experience or

High School Diploma, supplemented with seven (7) + years of related work experience

Preferred Qualifications

Certified Coding Specialist certification

Function

Clinical Billing

Scheduled Weekly Hours:

Saint Louis University is an equal opportunity/affirmative action employer. All qualified candidates will receive consideration for the position applied for without regard to race, color, religion, sex, age, national origin, disability, marital status, sexual orientation, military/veteran status, gender identity, or other non-merit factors. We welcome and encourage applications from minorities, women, protected veterans, and individuals with disabilities (including disabled veterans). If accommodations are needed for completing the application and/or with the interviewing process, please contact Human Resources at 314-977-5847.