Special Projects Specialist - PB

UR Medicine Thompson Health•Canandaigua, NY

About The Position

The Special Projects Specialist serves as a key point of contact for cross-functional initiatives, ensuring seamless communication and coordination between departments. This role is responsible for managing special projects from conception to completion, aligning objectives with organizational goals, and delivering results within established timelines. This role involves meticulous research and understanding of the entire revenue cycle encompassing multiple specialties across five health systems. The Special Projects Patient Account Specialist must have the ability to identify opportunities for operational efficiency and recommend solutions to enhance project outcome. This role involves advanced ability to navigate, utilize and trouble shoot the EPIC EMR for patient accounting, claim status, payment review, and documentation. This role plays a vital part in maintaining the financial integrity of our professional operations, ensuring compliance with all regulatory requirements and internal policies.

Requirements

High school diploma or equivalent.
Minimum of 5 years of dedicated experience in professional billing, with a strong emphasis on problem resolution and resolving complex billing related issues.
Demonstrated experience working with EPIC EMR for professional billing.
In-depth understanding of hospital revenue cycle operations, medical billing terminology, CPT/ICD-10 coding, and payer reimbursement methodologies (Medicare, Medicaid, commercial insurance).
Exceptional analytical and problem-solving abilities.
Strong attention to detail and accuracy.
Excellent verbal and written communication skills.
Proficiency in using patient accounting systems (e.g., Epic, Cerner, Meditech) and Microsoft Office Suite (Excel, Word).
Ability to work independently and as part of a team in a fast-paced, high-volume environment.
Strong organizational and time management skills.

Nice To Haves

Associate's or Bachelor's degree in Business Administration, Finance, Healthcare Administration, or a related field.
Multi-System Experience: Proven ability to manage billing and credit processes for multiple health systems simultaneously is highly preferred.
Experience managing professional billing for multiple health systems, specialties, or a high volume of practices.

Responsibilities

Plan, organize, and oversee special projects, ensuring deliverables are met.
Identify opportunities for operational efficiency and recommend solutions to enhance project outcome.
Navigate, utilize, and troubleshoot the EPIC EMR for patient accounting, claim status, payment review, and documentation.
Maintain the financial integrity of professional operations, ensuring compliance with all regulatory requirements and internal policies.
Act as primary liaison between internal teams, leadership, and external partners to facilitate collaboration and resolve issues.
Provide guidance and support to billing staff on complex cases or new processes introduced through special projects.
Handle escalated patient inquiries regarding complex billing issues with empathy and clarity, ensuring a positive patient experience.