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The MetroHealth System (Cleveland, OH) · 2 weeks ago

Mgr FQHC Billing & Revenue Integrity-Ar Management (Prof)

Cleveland, OH

Full-time

Onsite

Mid, Senior Level

4+ years exp

The MetroHealth System is redefining health care by going beyond medical treatment to improve community health and well-being. The Mgr FQHC Billing & Revenue Integrity role focuses on maintaining the integrity of the revenue capture system and maximizing collections through accurate charge capture processes.

Health CareHospitalMedical

Responsibilities

Maintains the integrity of the revenue capture system across the Federally Qualified Health Centers (FQHC) Locations

Focuses on the maximization of collections through the accurate and complete capture of all charges as well as the implementation and maintenance of charge capture processes

Works closely with clinical departments to align processes with government, payer, and internal charge capture policies; provides education to the clinical departments

Utilizes knowledge of governmental and third-party payer regulations, billing, and reimbursement processes

Assists in coordinating and overseeing all activities related to collections and accounts receivable management

Ensures all activities related to collection functions include, but are not limited to; claim status, denial management, aged account follow up and resolution for Patient Financial Services are coordinated with other revenue management functions to meet customer requirements, maximize revenue collection and achieve best practice targets

Upholds the mission, vision, values, and customer service standards of The MetroHealth System

Qualification

FQHC Revenue Cycle OperationsEPIC billing systemHealthcare revenue cycle practicesFinancial analytical experienceAdvanced MS ExcelAnalytical aptitudeCommunication skillsTime management skillsDetail oriented

Required

Bachelor's Degree, preferably in Accounting, Finance or Healthcare Management

In lieu of a Bachelor Degree, will accept Certified Professional Coder (CPC)

4 years of demonstrated experience with EPIC and/or major industry standard billing system

Financial analytical experience in a healthcare environment

Demonstrated experience with FQHC Revenue Cycle Operations

Demonstrated knowledge of healthcare revenue cycle practices

Demonstrated ability to manipulate and analyze data derived from disparate source systems

Advanced knowledge of MS Excel, Access, PowerPoint and query tools to create reports and financial models

Excellent time management and project prioritization skills with ability to multi-task

Detail oriented with demonstrated ability to work independently

Good written and verbal communication and interpersonal skills

Ability to facilitate group meetings and interview sessions

Must be knowledgeable in all third-party billing requirements and Coordination of Benefits (COB)

Analytical aptitude and ability to translate functional needs to an integrated technical/professional computerized environment

Preferred

Progressive management experience

MBA/MPH/MHA/MHS or other certification such as CPA

Certification in billing and coding represented by any of the following: RHIA, RHIT, RN, CPC, COC, CCS, or CCS-P

High level of quantitative and qualitative research, analytical skills and critical thinking skills with expertise to drive process development to implementation