Special Billing and Collection Coordinator - Obstetrics and Gynecology Billing Operations

Washington University in St Louis • Creve Coeur, MO

1d • Onsite

About The Position

This role is responsible for coordinating and performing professional billing activities in accordance with the No Surprise Billing Act (NSBA). The coordinator will utilize Epic tools to manage self-pay services, uninsured patients, and patients with non-contracted plans. This includes notifying patients, obtaining consent, creating good faith estimates, and processing applicable pre-service payments. The position may also involve coordinating out-of-network authorizations and single case agreements.

Requirements

• High school diploma or equivalent high school certification or combination of education and/or experience.
• Basic Life Support - American Heart Association, Basic Life Support - American Red Cross
• Billing Or Insurance (5 Years)
• Basic Life Support certification must be obtained within one month of hire date
• Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements).

Nice To Haves

• College Or Business School (2 Years)
• 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
• Spreadsheet Software

Responsibilities

• Works Epic WQs and reports containing scheduled services to identify and verify non-contracted coverage assignment, 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 in specific settings.
• 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 rendered.
• 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.
• Ensures services are canceled if out-of-network authorization or single case agreement cannot be obtained.
• 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.

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, which combines employee contributions and university contributions starting at 7%.
• Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
• 4 weeks of caregiver leave to bond with your new child.
• Family care resources are also available for your continued childcare needs.
• Adult care resources.
• Covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED