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.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
* Assists internal and external customers by retrieving and analyzing data, to maximize reimbursement and improve efficiency.
* Responsible for the surveillance of key performance indicators, Epic Watch lists and work queues.
* Works closely with clients to establish project goals and objectives, identify important operational data, and gain a clear understanding of the processes involved in delivering high-quality, relevant data.
* Research and analyze third party insurance company data.
* Works effectively as part of a team in resolving issues escalated through our internal ticket system.
* Investigates, tests, and resolves problems related to errors.
* Identifies and escalates issues along with their root causes that impact system performance.
* Provides preventative maintenance, troubleshooting and resolutions related to system functionality and automation.
* Focuses on continuous improvement best practices by identifying and diagnosing improvement opportunities.
* Collaborates across teams to develop unified approaches and standard work. Collaborates with other team members to support processes and act as a liaison to other revenue cycle departments, IT, Provider Enrollment, Helios, as well as r
external vendors. Participates and coordinates system or process enhancements.
* Creates visual aids, such as charts and diagrams, to make it easier to understand problems and suggests ideas for fixing them.
* Analyzes root causes of specific problems through root cause data analysis, validation of data integrity and results. May use findings to develop action plans for improvement.
* Create and maintain reporting using Epic's internal reporting system (Slicer Dicer) along with analyzing Epic dashboards, and Epic standard reporting.
EDUCATION AND EXPERIENCE:
- Bachelor's Degree in Business Administration, Healthcare, Finance, IT, or related field, or a minimum of 7 years of experience in Hospital or Professional Billing, Contracting, Payment Variances, or other Healthcare Revenue Cycle experience required.
- 2 years of health care experience required, preferably at a large, complex, integrated healthcare organization. Outstanding analytical, communication and interpersonal skills are required. Knowledge of Medicare & Medicaid guidelines, and other third-party billing rules.
- EPIC experience preferred.
- Excellent oral and written communication skills.
- Excellent analytical and critical thinking skills.
- Ability to manage complex, simultaneous assignments with potentially conflicting priorities and deadlines.
- All-inclusive decision-making skills.
- Strong diplomacy and collaboration skills.
- Strong knowledge of Microsoft Office, particularly Excel.
- Has experience in gathering and organizing data from different sources and presenting findings to leadership in a way that is useful for decision support.
Additional Information
- Organization: Corporate Services
- Department: CBO - Transaction Flow
- Shift: Day Job
- Union Code: Not Applicable
Henry Ford Health System
Feb 18, 2025