Analysis Skills, Business Administration, Business Operations, Communication Skills, Establish Priorities, Finance, Healthcare, Interpersonal Skills, Leadership, Microsoft Excel, Operational Audit, Payment Posting, Presentation/Verbal Skills, Problem Solving Skills, Process Development, Process Improvement, Process Management, Reconciliation, Time Management, Writing Skills
With minimal supervision, actively collaborates with CBO teams and payors to enhance efficiencies. Focus on payment accuracy, reconciliation, and process optimization. This role will also serve as a subject matter partner to payment applications leadership and other CBO leadership. Participates in and coordinates system or process improvements.
EDUCATION:
- Bachelor's degree in Business Administration, Healthcare, Finance, IT, or a related field
OR
Minimum of 7 years of experience in:
Hospital billing
Professional billing
Contracting
Payment variances
Healthcare revenue cycle operations
At least 2 years of healthcare experience required
Preferably within a large, complex, integrated healthcare organization
Required Skills & Knowledge
Strong knowledge of:
Medicare and Medicaid guidelines
Third-party billing rules and regulations
Experience with:
Data gathering and analysis
Organizing information from multiple sources
Presenting findings and recommendations to leadership
Advanced Microsoft Office skills
Especially Microsoft Excel
Preferred Qualifications
- EPIC experience preferred
Core Competencies
- Excellent verbal and written communication skills
- Strong analytical and critical thinking abilities
- Ability to manage multiple complex assignments simultaneously
- Strong prioritization and deadline management skills
- Sound decision-making abilities
- Strong collaboration, diplomacy, and interpersonal skills
- Drive timely resolution of issues across Payment Application workflows.
- Design and optimize Payment Application workflows to improve payment posting accuracy, streamline processes, and reduce rework.
- Oversee ACH and 835 enrollments, ensuring accuracy, timely processing, and resolution of enrollment-related issues.
Additional Information
- Organization: Corporate Services
- Department: CBO - Payment Application
- Shift: Day Job
- Union Code: Not Applicable