Revenue Cycle Business Partner II

BMC Software

1d•$78,000 - $113,000

About The Position

Under the direction of the Senior Manager, Vendor Management, the Revenue Cycle Business Partner II provides analytical support to resolve high-exposure operating and finance issues across Boston Medical Center (BMC) and Boston University Medical Group (BUMG). The role works with minimal supervision and requires in-depth knowledge of physician and hospital billing, charging and vendor workflows, and policies and procedures for the SBO. It monitors regulatory changes and payer requirements for coding and billing and applies that knowledge in collaboration with appropriate teams. With a focus on service and project management, the position leads large projects and conducts detailed assessments to resolve problems identified by senior leaders. It identifies and implements corrective action plans for processes and systems that cause lost revenue opportunities or reduced reimbursement. The role serves as a liaison among Revenue Cycle billing offices, third-party billing vendors, and revenue-generating departments, providing advanced analytical support and developing detailed resolution plans. It also builds constructive working relationships with physician departments, the facility, and other personnel involved in resolving issues.

Requirements

Minimum of three to five years of experience in healthcare auditing, coding, finance, revenue cycle management, patient accounting, and/or physician billing; experience in an Academic Medical Center setting is preferred.
Ability to work independently and manage time effectively while handling multiple projects or tasks.
Advanced abilities in problem management, process analysis, and root-cause analysis.
Interviewing and listening skills to discuss current processes and issues, ask effective questions, and gather information for evaluation and solution development.
Ability to communicate analysis, trends, and opportunities verbally and in writing.
Excellent organizational and project management skills.
Well-developed research skills.
Strategic thinking and business acumen.
Strong analytical skills to evaluate information from multiple sources and synthesize it into actionable information.
At least intermediate proficiency with Windows-based software, including Microsoft Word, Outlook, Excel, and PowerPoint.
Excellent writing, interpersonal, and organizational skills.
Working knowledge of healthcare applications, including Epic and nThrive.

Nice To Haves

Bachelor's degree in a business- or healthcare-related field, or an equivalent combination of formal education and work experience.
Experience in an Academic Medical Center setting.

Responsibilities

Oversee and complete monthly reconciliation of account placements with vendors and validate account-level detail on monthly invoices.
Oversee assigned physician departments in collaboration with Professional Billing Office Managers, Revenue Cycle, third-party vendors, and BUMG and BMC Finance.
Monitor physician department charging and billing processes to ensure appropriate capture and resolve issues in work queues based on system edits.
Track charge-error trends, patterns, and opportunities; develop reporting packets with findings and recommendations for long-term resolution in partnership with billing compliance, coding, and government and third-party payer requirements.
Work assigned work queues accurately and within established timeframes.
Establish Epic work-queue data metrics and conduct associated root-cause analysis; execute workflow processes to identify deficiencies.
Assess the accuracy and configuration of back-end Epic workflows, including work-queue structure, edit accuracy, and follow-up workflows, and recommend process improvements.
Lead and participate in large, complex revenue cycle projects; develop work plans and timelines with limited management oversight and deliver projects efficiently and promptly.
Collaborate with Revenue Cycle Operations, Compliance, and other Revenue and Finance departments on revenue management initiatives.
Provide guidance to senior leadership on vendor performance and opportunities to change vendors or service offerings.
Act as a team liaison for assessments, analytical research, and support, including root-cause analyses, cost-benefit analyses, and financial projections based on department volume or revenue.
Provide first-tier escalation support to SBO Business Associates, departmental stakeholders, Revenue Cycle departments, and internal and external customers.
Collaborate with diverse groups across the organization on revenue improvement initiatives.
Maintain professional skills and knowledge through educational programs and review of current literature.
Prepare activity metrics as required.
Use the Hospital's Core Values as a basis for decision-making and to facilitate the hospital mission.
Follow established hospital infection-control and safety procedures.
Perform other duties as needed and required.
Adhere to BMC's RESPECT behavioral standards.