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

Job Overview

Location

Remote

Job Type

Full-time

Category

Product Management

Date Posted

June 6, 2026

Full Job Description

đź“‹ Description

  • • Coordinate and perform professional billing activities in Epic, including notify, consent, and good faith estimates for scheduled self-pay services, uninsured patients, and patients with non-contracted plans in compliance with the No Surprise Billing Act (NSBA).
  • • Utilize Epic Work Queues (WQs), reports, and modules to identify and verify non-contracted insurance coverage assignments and determine patient payment responsibility.
  • • Complete the good faith estimate process in Epic for scheduled services involving self-pay, uninsured, or out-of-network patients in designated clinical settings.
  • • Communicate directly with patients to obtain pre-service payments and ensure timely collection prior to scheduled appointments.
  • • Collaborate with divisional, clinical, and scheduling teams to manage the Epic referral triage process and coordinate pre-arrival, pre-certification, and WUPN staff efforts.
  • • Secure out-of-network authorizations and single case agreements for patients with non-contracted plans; cancel services if authorization cannot be obtained.
  • • Serve as the primary liaison between physicians, clinical staff, department administrators, patients, and affiliated hospital systems to coordinate notify, consent, signature, estimate delivery, OON authorization, and single case agreement processes.
  • • Routinely interact with internal teams to ensure accurate documentation and compliance with federal and institutional billing regulations.
  • • Process applicable pre-service payments and follow up on outstanding balances related to non-contracted insurance scenarios.
  • • Maintain confidentiality of patient data and adhere to all HIPAA and institutional privacy standards during billing and collections activities.
  • • Perform other duties as assigned to support the efficient operation of the Business Office within the Department of Medicine.

🎯 Requirements

  • • High school diploma or equivalent
  • • 5 years of experience in billing or insurance
  • • Proficiency in Epic EHR system (WQs, reports, modules)
  • • Strong understanding of medical billing regulations including the No Surprise Billing Act
  • • Experience handling self-pay, uninsured, and out-of-network patient billing scenarios
  • • Ability to communicate effectively with patients, clinicians, and administrative staff

🏖️ 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 403(b) Retirement Savings Plan
  • • 4 weeks of caregiver leave to bond with a new child
  • • Tuition coverage: 100% at WashU and 40% elsewhere for dependents after seven years of service
  • • Wellness programs including mental health resources, mindfulness courses, EAP, and annual health screenings

Skills & Technologies

Remote

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Washington University in St. Louis
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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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