Supervisor, Patient Financial Responsibility (Hybrid) - Physicians Billing Service

Location: St. Louis, MO 63110 • Hybrid – primarily remote with onsite presence required at least once a month.

About the role

Supervises day-to-day financial operations, university billing workflows, and accounts receivable reconciliation across all departments. Coordinates commercial underpayment reviews, contract settlement negotiations, and fee schedule updates to optimize operational efficiency and revenue integrity. Guides a team of reporting analysts to ensure compliance with institutional policies and external healthcare payer requirements.

Responsibilities

• Oversees the daily workflows of billing operations, charge masters, and account reconciliations. Ensures accurate processing and universal fee schedule alignment across all participating medical and administrative departments.
• Monitors open accounts receivable pipelines. Leads complex reconciliation projects, manages contract settlement frameworks with payers (e.g., Aetna Better Health, UnitedHealthcare), and proactively identifies and resolves commercial underpayments.
• Supervises, trains, and evaluates professional financial staff. Allocates daily workloads, conducts performance reviews, and builds professional development tracks for team members.
• Conducts comprehensive departmental financial analyses, such as CPT code utilization and operational variance tracking. Prepares structural financial performance metrics and data summaries for management review.
• Maintains strict adherence to institutional guidelines, internal controls, and HIPAA regulations.
• Participates in the selection, training, supervision, and evaluation of new employees.
• Performs other financial operational duties as assigned.

Requirements

• Five years in healthcare financial operations, billing compliance, or revenue cycle management.
• Associate degree or combination of education and experience may substitute for minimum education.

Preferred Qualifications

• Bachelor’s Degree in Finance, Accounting, Healthcare Administration, or a related field of study.

Skills

• Accounting
• Accounts Receivable (AR) Analysis
• Analytical Thinking
• Communication
• Confidentiality
• Contracts Analysis
• Critical Thinking
• Cross-Functional Teamwork
• Customer Service
• Data Analysis
• Excel Databases
• Finance
• Financial Operations
• ICD-10 Procedure Coding System
• Interpersonal Relationships
• Medical Billing
• Microsoft Applications
• Microsoft Excel
• Microsoft Office
• Problem Solving
• Professional Judgement
• Self Motivation
• Workday Software
• Working Independently

Pay

Salary range: $58,300 – $90,400 per year.

Benefits

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