Supervisor, Patient Financial Responsibility (Hybrid) - Physicians Billing Service

Washington University in St. Louis; St. Louis (MO); Hybrid; USD 58,000 - 90,000; Full time

Benefits offered by this job

Vacation time

Health insurance

Transit benefits

Tuition assistance

Job summary

Washington University in St. Louis seeks a senior financial operations leader to supervise billing workflows, manage accounts receivable and payer settlements, and guide a team of analysts to ensure compliance with policies and healthcare payer requirements.

The role emphasizes operational oversight, data analytics, and adherence to HIPAA, with a hybrid work arrangement and potential on-site requirements.

Qualifications

• Five years in healthcare financial operations, billing compliance, or revenue cycle management.
• Bachelor’s Degree in Finance, Accounting, Healthcare Administration, or a related field of study.

Responsibilities

• Oversees the daily workflows of billing operations, charge masters, and account reconciliations.
• Monitors open accounts receivable pipelines; leads complex reconciliation projects and contract settlement frameworks with payers.
• Supervises, trains, and evaluates professional financial staff; allocates workloads and conducts reviews.
• Conducts departmental financial analyses and prepares performance metrics for management review.
• Maintains adherence to institutional guidelines, internal controls, and HIPAA regulations.

Education

Bachelor’s Degree in Finance, Accounting, Healthcare Administration, or a related field of study

Job description

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.

Location

St. Louis, MO 63110

Scheduled Hours

40

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

• 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

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

• 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.

Education

Other bachelor's degree

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 [e-mail] 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.
• Take advantage of our free Metro transit U-Pass for eligible employees.
• WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.

Wellness

• Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!

Family

• We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered.
• WashU 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.

For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/

EEO Statement

Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.