Special Billing and Collection Coordinator - Obstetrics and Gynecology Billing Operations

Location: St. Louis, MO 63108 | Scheduled Hours: 40

About the role

Meets with patients in person and on the phone to discuss financial obligations, review insurance benefits, create cost estimates, and establish payment plans. Collects payments as needed. Coordinates and performs professional billing activities such as notify, consent, and good faith estimates in Epic in accordance with the No Surprise Billing Act (NSBA). Utilizes Epic tools (WQs, reports, modules/applications) to complete these activities for self-pay services, uninsured patients, and patients with non-contracted plans in specific settings. Processes pre-service payments and may assist in coordinating out-of-network authorization and single-case agreement processes.

Responsibilities

• Works Epic WQs and reports to identify and verify non-contracted coverage, uninsured, and self-pay services.
• Completes the good faith estimate process in Epic for scheduled self-pay services, uninsured patients, and patients with non-contracted plans.
• Creates cost estimates of care for ambulatory and surgical services and counsels patients on out-of-pocket expenses.
• Communicates with patients and processes payments prior to service date.
• Meets with patients to discuss financial obligations incurred through clinical and/or operative services.
• Discusses financially sensitive information and determines need for financial aid and assistance.
• Works with division, clinical, and scheduling teams on the Epic referral triage process.
• Engages with pre-arrival, pre-certification, and WUPN staff to secure out-of-network authorizations and single-case agreements. If either cannot be obtained, ensures services are canceled.
• Interacts with physicians, clinical staff, department and division administrators, and personnel.
• Serves as the liaison for the department, division, patients, and affiliated hospital systems to coordinate notify, consent, signature, good faith estimate, estimate delivery, OON authorization, and single-case agreement when applicable.
• Performs other duties as assigned.

Working Conditions

• Clinical office environment.
• Typically sitting at a desk or table with repetitive wrist, hand, or finger movement (PC typing).
• Uses office equipment.

Requirements

• High school diploma or equivalent certification, or combination of education and/or experience.
• 5 years of billing or insurance experience.
• Basic Life Support certification (American Heart Association or American Red Cross) must be obtained within one month of hire date. Online BLS certifications without a skills assessment component are not sufficient.

Preferred Qualifications

• 2 years of college or business school.
• Skills in billing, communication, computer literacy, confidential data handling, credit management, customer service, data entry, Epic applications, financial reports, medical terminology, office equipment, payment collections, payment processing, and spreadsheet software.

Pay

$21.33 - $31.98 / Hourly

Benefits

• Personal: Up to 22 days of vacation, 10 recognized holidays, and sick time.
• Health: Competitive health insurance packages with priority appointments and lower copays/coinsurance.
• Transportation: Free Metro transit U-Pass for eligible employees.
• Retirement: Defined contribution (403(b)) Retirement Savings Plan, combining employee contributions and university contributions starting at 7%.
• Wellness: Wellness challenges, annual health screenings, mental health resources, mindfulness programs, employee assistance program (EAP), financial resources, access to dietitians, and more.
• Family: 4 weeks of caregiver leave to bond with a new child. Family care resources for childcare and adult care. Tuition coverage for employees and dependents (100% at WashU and 40% elsewhere after seven years).