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Supervisor, Patient Financial Responsibility (Hybrid) - Physicians Billing Service
Washington University in St. Louis
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About this role
Location St. Louis, MO 63110

 Scheduled Hours 40
Position Summary 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 analyst to ensure compliance with institutional policies and external healthcare payer requirements.
Job Description
Primary Duties & Responsibilities:
• Operational Supervision & Billing Oversight: 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. • Accounts Receivable & Payer Settlement Management: 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. • Team Leadership & Mentorship: Supervises, trains, and evaluates professional financial staff. Allocates daily workloads, conducts performance reviews, and builds professional development tracks for team members. • Data Analytics & Reporting: 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. • Compliance & Ad-hoc Duties: Maintains strict adherence to institutional guidelines, internal controls, and HIPAA regulations. Performs other financial operational duties as assigned. • Participates in selection process of new employees, training, supervising and evaluating employees; informs employees of changes in the department. • Performs other duties as assigned.
Working Conditions:
Job Location/Working Conditions • Normal office environment-Hybrid - position works remotely; however, occasional onsite presence will be required. • Primarily remote with the exception of coming into the office at least once a month.
Physical Effort • Typically sitting at a desk or table • Repetitive wrist, hand or finger movement. • Ability to move to on and off-campus locations.
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: Associate degree or combination of education and experience may substitute for minimum education. Certifications /Professional Licenses : No specific certification/professional license is required for this position.
Work Experience: Healthcare Administration/Management (5 Years), Finance Or Business Management Areas (5 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position.
More About This Job Required Qualifications: • Five years in healthcare financial operations, billing compliance, or revenue cycle management.
Preferred Qualifications: • Bachelor’s Degree in Finance, Accounting, Healthcare Administration, or a related field of study.
Preferred Qualifications
Education: Other bachelor's degree Certifications /Professional Licenses : No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: No additional work experience unless stated elsewhere in the job posting.
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
Grade C11
Salary Range $58,300.00 - $90,400.00 / Annually
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, and sick time.
• Competitive health insurance packages with priority appointments and lower copays/coinsurance.
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