About The Position

Develops, supports, maintains, and revises Revenue Cycle technical solution(s), APIs, claims, payments, reports, and database needs between and among financial, revenue cycle, and related 3rd-party systems in support of Marshall Health, the Marshall University Joan C. Edwards School of Medicine and affiliated organizations. Responsible for patient accounting system support, including, but not limited to, claims transmissions and remits, statements, payment posting, patient balance ledgers, and balance aging processes. Troubleshoots and resolves application and technical issues surrounding the use and support of revenue cycle and related IT support systems. Monitors system activities and performance of revenue cycle and related applications escalating issues to team members, vendors, or executives as appropriate for effective issue resolution. Collaborates with Directors of Patient Accounting to analysis DNFB data and then to collaborate and execute path to resolution with specialty department supervisors and staff. Participates in the planning and execution of revenue cycle and related system installations, upgrades, and processes continually improving revenue cycle management. Supports the development of training documentation, presentations, and support programs for training team all business office staff. Implements Revenue Cycle policies and procedures. Works with department supervisor and the central billing office on any billing and follow up opportunities. Performs other duties as assigned or requested.

Requirements

  • Strong working knowledge of patient financial, claim, and billing work flows within a healthcare revenue cycle management environment.
  • Ability to read and understand Electronic Remittance Files (835/837) and ANSI x12.
  • Excellent communication and organizational skills.
  • Ability to work well with people and under pressure in a rapidly changing environment.
  • Minimum of 3 - 5 years of relevant experience in a healthcare billing environment or related role required.
  • Healthcare revenue cycle experience with a background in a healthcare business office or clinical setting highly recommended.

Nice To Haves

  • Master’s Degree or equivalent combination of education, training, and experience desired.
  • Experience in ProFit, Cerner Millennium, or CPM patient accounting is a priority.

Responsibilities

  • Develops, supports, maintains, and revises Revenue Cycle technical solution(s), APIs, claims, payments, reports, and database needs.
  • Responsible for patient accounting system support, including claims transmissions and remits, statements, payment posting, patient balance ledgers, and balance aging processes.
  • Troubleshoots and resolves application and technical issues surrounding the use and support of revenue cycle and related IT support systems.
  • Monitors system activities and performance of revenue cycle and related applications, escalating issues as appropriate.
  • Collaborates with Directors of Patient Accounting to analyze DNFB data and execute resolution paths with department supervisors and staff.
  • Participates in the planning and execution of revenue cycle and related system installations, upgrades, and processes.
  • Supports the development of training documentation, presentations, and support programs for business office staff.
  • Implements Revenue Cycle policies and procedures.
  • Works with department supervisor and the central billing office on billing and follow-up opportunities.
  • Performs other duties as assigned or requested.
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