Special Billing and Collection Coordinator - Obstetrics and Gynecology Billing Operations

About this role

Location ST. LOUIS, MO 63108

 Scheduled Hours 40

Position Summary Meets with patients in person and on phone to discuss financial obligations, review insurance benefits, creates cost estimates, and establishes payment plans and collects payment as needed.

Responsible for coordinating and performing professional billing activities such as notify, consent, and good faith estimates in Epic in accordance with the requirements of the No Surprise Billing Act (NSBA).

Utilizes Epic tools, such as WQs, reports, and modules/applications to complete these activities for self-pay services, uninsured patients, and patients with non-contracted plans in specific settings.

Processes applicable pre-service payments and may assist in coordinating and performing the out of network authorization and single case agreement processes for patients with non-contracted plans.

Job Description

Primary Duties & Responsibilities:

• Works Epic WQs and reports containing scheduled services to identify and verify non-contracted coverage assignment, uninsured and self-pay services. • Responsible for completing 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. If either cannot be obtained, then this position ensures the 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 :

Job Location/Working Conditions Clinical office environment.

Physical Effort Typically sitting at desk or table.

Repetitive wrist, hand or finger movement (PC Typing)

Equipment Office equipment.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education: High school diploma or equivalent high school certification or combination of education and/or experience. Certifications /Professional Licenses : The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.

Basic Life Support - American Heart Association, Basic Life Support - American Red Cross Work Experience: Billing Or Insurance (5 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position.

More About This Job Required Qualifications: • 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). 

Preferred Qualifications

Education: No additional education unless stated elsewhere in the job posting. Certifications /Professional Licenses : No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: College Or Business School (2 Years)

Skills: 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

Grade C08-H

Salary Range $21.33 - $31.98 / Hourly

The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.

Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ .

Accommodation If you are unable to use our online application system and would like an accommodation, please email   CandidateQuestions@wustl.edu   or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.

All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.

Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.

Benefits Statement Personal • Up to 22 days of vacation, 10 recognized holidays, a

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