Washington University in St. Louis logo

Special Billing and Collection Coordinator (Remote) - Department of Medicine - Business Office

Job Overview

Location

Remote

Job Type

Full-time

Category

Product Management

Date Posted

June 18, 2026

Full Job Description

đź“‹ Description

  • • Coordinate and perform professional billing activities in Epic, including notify, consent, and good faith estimates in compliance with the No Surprise Billing Act (NSBA).
  • • Utilize Epic Work Queues (WQs), reports, and modules to identify and verify non-contracted coverage, uninsured status, and self-pay services for scheduled appointments in specific clinical settings.
  • • Complete the good faith estimate process in Epic for scheduled self-pay patients, uninsured individuals, and those with non-contracted insurance plans.
  • • Communicate directly with patients to process pre-service payments prior to scheduled appointments.
  • • Collaborate with divisional, clinical, and scheduling teams to manage the Epic referral triage process and ensure accurate patient eligibility verification.
  • • Engage with pre-arrival, pre-certification, and WUPN staff to secure out-of-network authorizations and single case agreements for patients with non-contracted plans.
  • • Cancel scheduled services when out-of-network authorizations or single case agreements cannot be obtained.
  • • Serve as the primary liaison between the Department of Medicine, clinical staff, physicians, department administrators, patients, and affiliated hospital systems to coordinate billing-related documentation including notify, consent, signatures, estimate delivery, OON authorizations, and single case agreements.
  • • Routinely interact with internal teams to ensure timely and accurate billing compliance and patient communication.
  • • Perform other duties as assigned to support the business office’s billing and collection objectives.

🎯 Requirements

  • • 5 years of experience in billing or insurance
  • • Proficiency in using Epic EHR system, including Work Queues, reports, and billing modules
  • • Ability to handle confidential patient data in compliance with HIPAA and institutional policies
  • • Strong communication skills for direct patient interaction and cross-departmental coordination

🏖️ Benefits

  • • Up to 22 days of vacation, 10 recognized holidays, and sick time
  • • Competitive health insurance with priority appointments and lower copays/coinsurance
  • • Free Metro transit U-Pass for eligible employees
  • • 7% university contribution to a defined contribution (403(b)) Retirement Savings Plan
  • • 4 weeks of caregiver leave to bond with a new child
  • • Tuition coverage for employee and dependents: 100% at WashU, 40% elsewhere after seven years of service
  • • Wellness resources including mental health support, mindfulness programs, EAP, financial counseling, and annual health screenings

Skills & Technologies

Remote

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About Washington University in St. Louis

Washington University in St. Louis is a private research university founded in 1853. It offers undergraduate, graduate, and professional programs across seven schools, including Arts & Sciences, Engineering, Medicine, Law, and Business. Located in St. Louis, Missouri, the university is classified as an R1 doctoral university with very high research activity. It operates a 169-acre Danforth Campus and a 164-acre Medical Campus, along with the Tyson Research Center. The university is affiliated with Barnes-Jewish Hospital and conducts extensive interdisciplinary research in biomedicine, engineering, social policy, and the arts.

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