Billing and Claims Analyst Manager (Atwater - Remote)

Provide direction in the development and support of IT Applications, such as Billing EPIC modules - Charging/Coding/Resolute/Claims. Responsible for managing the day to day activities of Billing Trainer and the assigned Billing and Claims Analyst team and coordinating activities with multiple IT teams to develop, maintain, support, and enhance applications. Support revenue cycle functions by partnering with business owners across the revenue cycle to identify and evaluate processes deficiencies and work towards resolving them. Produces reporting as well as providing analytic analysis of the data to Director of Revenue Cycle and other stakeholders in the organization. This position will report to our Atwater Administrative Office, with ability to work remotely once acclimated to role. Schedule is Monday - Friday, 8:00am - 5:00pm. Compensation: $85,924.80 - $90,221.04 Golden Valley Health Centers offers excellent benefits including Medical: (0 Deductible / $2,000 Individual; $4,000 Family Out-of-Pocket Max), excellent PPO coverages; Dental; Vision; 403(b) with match, FSA plans, gym discounts, and so much more! Essential Duties and Responsibilities • Responsible for recruiting and training, supervising and completing performance evaluations for assigned team. • Management oversight for projects and efforts including prioritization, resource utilization, timeline development and task completion. • Maintain knowledge of assigned Epic and other professional billing and claims configuration management and act as subject matter expert on application(s) functionality. • Manage professional billing and claims request. Prioritize, track and resolve end-user support requests with a sense of urgency, problem solve escalated tasks. • Manage the planning, design, development, build and/or configuration of applications and Epic's Resolute Professional Billing applications which include Resolute Professional Billing, Charge Router, General Ledger and other related Epic and third party applications. • Review the status of projects and issues on ongoing basis with organization leadership; ensure project timelines are adhered to and implement plans of action as necessary. • Work with users to ensure that systems are used effectively and provide direction to improve efficiency. • Analyze user requirements, develop and implement systems. • Testing - Take responsibility for the integrity of billing application testing activities for assigned team to ensure quality standards are met. • Monitor billing application modification requests and ensure best practices are being utilized. • Coordinate activities of team and act as a source for direction, training and guidance. • Support staff in their accurate determination and resolution of problems that affect users. • Partner with billing management, operations and other stakeholders across the organization to identify and address operational issues related to Revenue Cycle performance. • Conduct revenue cycle analysis and provides trends to billing and operations management to identify improvement opportunities, enhancement or system automation. • In conjunction with billing management, coordinates Revenue Cycle system enhancements, and upgrades with IT, Operations, and other departments as needed. • Conduct research and interpret regulations and other requirements to determine charging and billing alternatives and compliance issues in conjunction with operational and billing management. • Oversee updates, including but not limited to charge master, sliding fee, contracts, billing edits as new and updated regulatory and contractual requirements are identified. • Run, review, interpret, analyze, and validate Revenue Cycle reports. Ensure the integrity of data provided to all areas of the revenue cycle and other areas of the organization is necessary for good decision making. • Additional duties and responsibilities as assigned. Min. Qualifications • Knowledge of 3rd party and governmental billing requirements/regulations. • Knowledge of healthcare reimbursement and billing procedures, HCPCS, CPT and ICD-10 coding, and medical terminology. • Excellent analytical, research, communication and organizational skills as well as attention to detail. • Ability to analyze and interpret large amounts of data efficiently and effectively. • Understanding of the Revenue Cycle in healthcare. • Possesses excellent interpersonal skills and can effectively communicate with supervisors, team members and other departments. • Ability to work efficiently and effectively with tight deadlines, interruptions and high-work volume. • Working knowledge in operating a personal computer, and Microsoft Suite. • Valid CA Driver's License, reliable transportation, acceptable driving record, and liability insurance. Physical Demands • Must be able to lift up to 20 pounds occasionally and push up to 50 pounds (on wheels) on rare occasions. • Must be able to hear staff on the phone and those who are served in-person, and

Apply tot his job

Apply To this Job