Senior Billing Analyst - Asheville, United States - MAHEC, Mountain Area Health Education Center

Description

JOB SUMMARY:

Performs analytical work at the direction of the Clinical Business Operations Director and Business Office Manager with an emphasis on enhancing the utilization of the Practice Management Software within MAHEC with a primary focus on analyzing data. This position demonstrates proficiency and advanced skills in operating computerized systems, such as the Allscripts PM, RCx Rules software, and Excel spreadsheets, etc. In this role you will act as a centralized point of contact with other departments related to end-to-end billing process, dispute troubleshooting, and reporting. Works under pressure and manages high volume workload at end of month-, quarter-, or year-end revenue cycle with focus on timely and error-free entry.

Coordinates and co-operates within the Clinical Business Operations Director and the Chief Financial Officer. This position maintains electronic and manual systems that are critical to both internal and external requirements. Identifies problems and troubleshoots solutions.

SPECIFIC RESPONSIBILITIES:

• Maintains the integrity of rules in RCx, also primary Rule Writer.
• Works directly with coding and billing teams building, reviewing and auditing rules.
• Meet with Coding/Billing team leads regularly to identify any new rule to make departments more efficient.
  • Designs and establishes a system to provide appropriate practice management reports.
  • Designs and establishes a system to provide appropriate reports for General Ledger entry and Month-End Close.
  • Develops specialized reports for Practice Managers that help provide analysis and support decision points in the Revenue Cycle.
  • Provides reports that help monitor work being performed by the entire organization and impact created from work efforts with the revenue organizational goals.
  • Coordinates and/or prepares routine and special reports describing patient population, payment records, projected incomes. Etc.
  • Assists with annual audit by gathering appropriate year-end reports and data requested, and meets with the auditors.
  • Coordination of daily billing operations and staff utilization of practice management software.
  • Works closely with Business Office Manager to improve each billing team member's use of the practice management software.
  • Evaluates daily processes within the centralized billing office and makes recommendations to enhance effectiveness and efficiencies to Business Office Manager through use of the Practice Management Software.
  • Works to streamline and automate day-to-day processes in the Revenue Cycle, especially within the centralized billing team.
  • Monitors accounts receivable balances in order to monitor aging maintain an acceptable level of Days of Revenue in Account Receivable as determined by Business Office Manager, Clinical Business Operations Director and Chief Financial Officer.
  • Attends appropriate workshops and conferences in order to update or advance billing team knowledge and skills.
  • Works with the Business Office Manager any committee assigned to participate on to develop, implement, and audit MAHEC Billing policies and procedures.
  • Serves on various committees as needed and directed by Business Office Manager.

This role description is a general description of the essential job functions. It is not intended to describe all the duties the Senior Billing Analyst may perform.

KEY COMPETENCIES:

• Communication Skills

Effectively and respectably communicate with other individuals, whether it be a colleague, patient, or patient's family member and appropriately enumerate information in a manner easily understood by all parties. We do this to foster a culture of understanding between all parties, especially in complex and difficult situations, to ultimately provide the best care possible to our patients and their families.

• Decision Making

Ability to make the most appropriate decision in a given situation and then taking the next steps to ensure appropriate and timely completion. This requires conflict resolution skills, critical thinking skills, confidence in your ability to make the right decision in most situations. This also includes ability to prioritize your workday appropriately to ensure the most important tasks are completed on time.

• HealthCare Knowledge

Having the drive to keep yourself abreast and up to date on the new breakthroughs in your area of expertise and communicating them to the rest of the team, as appropriate. This also includes keeping up with your licensure and yearly training requirements within your area expertise along with MAHEC's organizational training. Finally, the ability to apply the depth of knowledge maintained and gained through this process in real life scenarios as appropriate.

• Interpersonal Skills

Showing the ability to meet difficult situations with grace, professionalism, and understanding. Within your area of expertise, showing respect and showing empathy where appropriate with your colleagues, patients, and their family at all times, even when its most difficult to do so. This is done, in part, by effective listening, being your authentic self, showing responsibility and dependability, and being patient with others.

• Organizational Values

Adherence to MAHEC's founding principles and incorporating them every day. This includes, among others, having integrity and accountability, reverence for other cultures and equitable practices, ability to manage change, and displaying a clear understanding of organizational dynamics. Doing these things creates a culture where people want to do the best for each other and gives personal ownership towards the goal of helping people in their time of need.

• Problem Solving

Having an analytical mind and ability to work autonomously to solve complex problems that may arise. The wherewithal to think logically through a difficult problem and come to an appropriate resolution for a given issue. This helps to drive continuous improvement by thinking through where we can improve in a novel way. Measures success by understanding where we are currently and where we want to go and then applying those new ideas to affect positive change.

SPECIFIED SKILLS

• COMPUTER
  • Excellent skills in Microsoft Office including Word, Excel, PowerPoint, and database applications required.
• FOREIGN LANGUAGE
  • Spanish speaking skills preferred.

PHYSICAL DEMANDS

• Not Applicable.

SUPERVISORY RESPONSIBILITIES:

• No primary supervision within the department. No performance management or disciplinary responsibilities.
• May serve as a short-term back up supervisor in the absence of the Business Office Manager, as directed.

EDUCATION AND EXPERIENCE

MINIMUM QUALIFICATIONS: Any combination of education and experience and experience equivalent to a bachelor's degree plus 2 years of direct medical billing collections experience required. Prior experience leading other preferred.

REQUIRED LICENSES:

SCHEDULE:

Regular attendance on-site is an essential function of this position. Typical business hours are Monday - Friday, 8:00 am to 5:00 pm (or flexed to best meet the needs of the clients and/or the Division); 40 hours per workweek; weekend, holiday, or evening coverage is occasionally required. Work hours will need to be flexible in order to respond to special work assignments, or evening activities, as requested by the team leader.

POSITION COMPENSATION: $50,700 plus full benefits available