With minimal supervision, actively collaborates with CBO teams and payors to enhance efficiencies, maintain system profiles, and reduce errors/denials that cause inflow and preventable loss write-offs. This role may also serve as a liaison between clinical departments, information services, the Helios team, and external vendors. Participates in and coordinates system or process improvements.
EDUCATION:
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
Core Competencies
Additional Information