WashU IT

Operations

• Leading team efforts on department specific collection within a payor
• Assists staff with resolving department specific issues
• Identifies and resolves department and payor trends
• Assists staff with daily operational problems or backlog
• Assists manager or supervisor with special projects
• Identifies trends with department/payor
• Motivates staff/promotes team effort and department goals

Team Lead Operations – Ophthalmology

Compliance

• Manage administrative support and compliance activities of research COI programs.
• Interpret regulations and policies to resolve complex research issues.
• Develop training programs and tools to enhance compliance.
• Supervise staff for the Institutional Conflict of Interest Committee.
• Review complicated financial disclosures primarily focused on clinical research.
• Ensure compliance with University policies and federal/state regulations.
• Prepare operational and statistical reports.

Manager, Research Compliance – Conflicts of Interest

Director

• Provides operational leadership for WashU Medicine's delegated credentialing organization
• Works jointly with Senior Director of Managed Care Financial Contracting and Rate Analysis to secure optimal terms with third-party managed care organizations
• Manages WashU Medicine's delegated credentialing organization
• Develops and implements policies and procedures for credentialing and re-credentialing functions
• Designs and manages a centralized practitioner database
• Maintains compliance with credentialing standards and advises affiliated physician organizations
• Develops infrastructure for accurate reporting to credentialing bodies
• Coordinates site audits by managed care plans
• Negotiates managed care contract language and secures acceptable terms

Senior Director, Credentialing & Contracting

Program Manager

• Responsible for clinical program management, including program planning, implementation and evaluation.
• Promotes the delivery of care, based on the program philosophy.
• Responsible for oversight of daily operations related to implementation of the project/program.
• Acts as a central coordinator for these two divisions working with central administrative areas.
• Designs and coordinates a plan with various leadership members to provide quality medical services.
• Tracks key operating statistics and provides management reports.
• Aligns staffing levels with clinical demand and service needs.
• Monitors dashboards provided from various sources which track volume and analyzes trends across modalities, locations, and providers.
• Implements tactical and strategic planning processes to address changes in services and volume, including formulating recommendations in response to requests for changes.
• Oversees the development of an efficient and effective organization of professional and support staff to meet the personnel resource needs.
• Implements approved changes and formulates, recommends, implements and evaluates policies and procedures required to execute ambulatory care activities.

Clinical Program Director – Radiology

Billing Specialist

• Performs follow-up insurance billing and collection activities on a minimum of 30 claims per day
• Makes collection calls, verifying accuracy and completeness of claims
• Contacts insurance companies and collection agencies in regard to expediting payments from various payers for physician’s services
• Reviews patient accounts to verify the accuracy of information including insurance, eligibility, invoice resolution, correspondence, remittances, requests for additional information, or other appropriate handling
• Utilizes Epic, system tools, and payer websites for claim submission, claim status, attachments, eligibility, and authorization/referral inquiry
• Consistently meets the Quality Assurance (QA) and meaningful efficiency standards of working invoices/accounts each day
• Follows best practices for one-touch resolution as established within the department
• Interacts with management and staff members to discuss issues
• Performs other duties as assigned by the supervisor and/or manager

Insurance Billing/Collection Assistant II – Business Office

• Perform follow-up on insurance billing and collection activities
• Verify the accuracy and completeness of insurance records and claims
• Contact insurance companies as well as other related duties to expedite payments for physician services
• Review patient accounts to verify accuracy of information including insurance, eligibility, invoice resolution, correspondence, remittances, requests for additional information
• Utilize Epic and payer websites for claim submission, claim status, attachments, eligibility, and authorization/referral inquiry
• Meet Quality Assurance (QA) standards and follow best practices for one-touch resolution
• Interact with management and staff members to discuss issues
• Perform other duties as assigned by the supervisor and/or manager

Insurance Billing/Collection Assistant II – Department of Medicine

Payroll

• Provides audit and input of assigned academic and nonacademic transactions
• Advises and assists departmental supervisors on payroll related issues
• Processes payroll transactions for academic and nonacademic personnel
• Assists new employees with completing the appropriate new hire, payroll and benefit forms
• Responsible for departmental foreign national paperwork and compliance for visas
• Assists supervisors with the hiring process including job requisitions, PHS entry and appointment screening
• May maintain sick and vacation leave records for staff personnel
• Prepares cost-transfers and journals adjusting when necessary
• Maintains personnel and payroll related files for department
• May assist supervisors with documentation needed for employee evaluation process
• May assist in annual budget process
• Ensures accuracy and completion of PAR’s reports
• Administers academic bonus plan and faculty compensation plan

Senior Payroll Associate – Emergency Medicine

• Provide analysis, planning, organization, communication and management necessary to support all aspects of the design, implementation and on-going support of departmental applications
• Manage a professional staff
• Participate in management discussions and planning at the department level
• Act on behalf of Director in his/her absence
• Business process analysis, system design, implementation and on-going support of departmental applications
• Management of projects and system support including supervision of staff
• Ensure data integrity and security of these systems
• Direct the application development activities and manage the resources of a team within the Departmental Applications technology team
• System modification and major system analysis and design including database system design and technical support
• Disciplined project management methodology including documentation and implementation standards required to meet project milestones
• Recruitment and development of professional staff and ongoing evaluation
• Direct the development and delivery of training that will enhance the technology, proficiency and system understanding of a team within the Departmental Applications technology team
• Perform other duties as assigned

Assistant Director, Applications

• Provides preliminary and conceptual planning and programming as well as estimating facilities projects of a complex nature
• Leads design of databases for modules and/or projects
• Helps determine appropriate technical solutions and makes relevant recommendations
• Works closely with Enterprise project personnel and other members of the team
• Works with clients, project managers, and other planners in migrations and movement or reconstruction
• Communicates with management team regarding efficiency and accuracy
• Pilots applications to ensure performance and capacity plans meet expectations
• Coordinates with Information Security Office on assessing the risk of the database environments

Planner I – Administration & Operations

• Design, develop, and deliver technical training programs that support operational excellence, workforce capability, and continuous improvement.
• Facilitate engaging in-person and virtual training sessions using advanced functionality in Zoom and Microsoft Teams, including troubleshooting.
• Develop and manage training content within Workday Learning, including course creation, scheduling, registration, attendance tracking, and reporting.
• Track and analyze key performance indicators (KPIs) to measure training effectiveness and inform continuous improvement strategies.
• Create visually engaging training materials and communications using Canva, Excel, and PowerPoint.
• Collaborate with stakeholders to assess training needs and develop scaffolded and differentiated learning solutions.
• Evaluate training outcomes through assessments and feedback, providing actionable recommendations to leadership.
• Coordinate logistics, including training schedules and room reservations (e.g., Archibus).
• Deliver high-quality customer service while building strong relationships across teams and departments.
• Support strategic workforce development initiatives and perform additional duties as assigned.

Training and Development Specialist – Continuous Improvement

Research Scientist

• Conducts research experiments and assays.
• Evaluates research results, reports findings and discusses project outcomes with staff involved.
• Performs data entry and maintains data files on research.
• Coordinates tissue cultures, reagents, probe tests, etc.
• Complies with established safety procedures and maintains required documentation on laboratory and specimen conditions.
• Coordinates research project with other institutions and investigators.
• Participates in developing hypotheses to be tested and ways of testing it.
• Assists with general supply/equipment orders, lab maintenance and cleaning.
• Performs literature research on specified topics.
• Performs other duties as assigned.

Research Assistant – Infectious Diseases

Medical Billing and Coding

• Reviews medical record documentation to determine appropriate billing codes and necessary documentation
• Codes evaluation and management to appropriate CPT code and diagnoses to appropriate ICD-9 code
• Meets with physicians to review documentation, resolve coding issues, and secure signatures of all unsigned dates of service
• Acts as lead person and assists coders with medical terminology and policy interpretation
• Assists with efforts to increase physician awareness of documentation requirements
• Prepares case reports and initiates follow-up for billing process

Coder Certified – Surgery

Analyst

• Configuring, modifying, testing, and maintaining software applications.
• Builds collaborative relationships with hospital leadership and clinical department users.
• Second-tier support to end users to ensure reliable application system availability and performance.
• Designs, verifies, documents, amends and refactors complex software configurations for deployment.
• Participates in reviews of own work and leads reviews of colleagues' work.
• Investigates and resolves issues relating to applications.
• Develops and executes test plans and test cases.
• Selects appropriate tools and techniques to evaluate user experiences of systems, products, services or devices.
• Documents and closes resolved incidents.

Analyst Epic Application II

• Reviews medical record documentation to determine appropriate billing codes and necessary documentation
• Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code
• Meets with physicians to review documentation, resolve coding and secure signatures of all unsigned dates of service
• Acts as lead person and assists coders with medical terminology and policy interpretation
• Assists with efforts to increase physician awareness of documentation requirements
• Prepares case reports and initiates follow-up for billing process
• Performs other duties as assigned

Team Lead Operations – Ophthalmology

Manager, Research Compliance – Conflicts of Interest

Senior Director, Credentialing & Contracting

Clinical Program Director – Radiology

Insurance Billing/Collection Assistant II – Business Office

Insurance Billing/Collection Assistant II – Department of Medicine

Senior Payroll Associate – Emergency Medicine

Assistant Director, Applications

Planner I – Administration & Operations

Training and Development Specialist – Continuous Improvement

Research Assistant – Infectious Diseases

Research Assistant – Infectious Diseases

Coder Certified – Surgery

Analyst Epic Application II

Certified Coder – Pediatrics Central Administration