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Bay Area Hospital · 13 hours ago

Epic Single Billing Office Reimbursement Coordinator - Full Time

Bay Area Hospital

Full-time

Onsite

Senior Level

$63K/yr - $86K/yr

5+ years exp

Bay Area Hospital is seeking an Epic Single Billing Office Reimbursement Coordinator. This role is responsible for building and maintaining EHR contract modules in Epic for the Single Billing Office, managing payer plan records, and collaborating with payers to resolve reimbursement issues.

Health Care

Responsibilities

This position is responsible for building and maintaining the EHR contract modules in Epic for the Single Billing Office (SBO) at Bay Area Hospital

The coordinator is responsible for system build, monitoring and working claim variances and collaborating with payers to resolve reimbursement related issues

This position also manages payer plan records and remit code mapping in collaboration with the other Community Connect partners

Qualification

Epic certificationsHealthcare revenue cycleManaged care contractsReimbursement methodologiesThird-Party Healthcare ArrangementsRemittance codes knowledge837i837p formatsMicrosoft Office SuiteProject managementTeam buildingEffective communicationInterpersonal skillsOrganizational skillsProblem-solving

Required

Able to understand and interpret managed care contracts and research, collect and analyze contract information, as required

Ability to accurately build contracts into the contract management system and Epic contract applications

Possess a specific knowledge of Third-Party Healthcare Arrangements and is able to apply that knowledge

Must be able to calculate and audit expected reimbursement in order to determine accuracy of payment

Working knowledge of remittance codes, including CARC and RARC codes that can impact adjustments and denials

Knowledge of 837i and 837p electronic claim formats

Demonstrates the ability to use a personal computer, office equipment and various software programs applicable to the position

Familiarity with industry best practices and standards

Ability to translate complex problems & concepts

Effective and professional communication skills, both verbal and written

Exhibits the ability to maintain confidentiality, think and act independently with minimal supervision

Ability to use initiative and judgment skills in carrying out responsibilities

Good interpersonal skills and communication with all levels of management

Excellent team building and management skills

Organizational skills that promote the ability to work well without direct supervision, manage time effectively and appropriately prioritize multiple assignments to meet project deadlines

Effective collaboration and communication with a variety of individuals, both internal and external, including multidisciplinary teams

Ensures recommendations support adherence to all federal, state and other regulatory requirements

Communicates effectively with all constituents and keeps leadership informed of issues

Demonstrates ability to problem solve, work independently and as part of a team

Demonstrates dynamic leadership skills to promote and support the achievement of overall organizational goals and specific revenue cycle objectives

Demonstrates initiative and exercises good judgment and effective critical thinking skills

Flexible, able to prioritize and address multiple responsibilities concurrently and meet deadlines

Works effectively under stress and frequently changing job requirements/situations

Ability to use a personal computer and various software programs applicable to the position

Exhibits the ability to deal effectively interdepartmentally & with the public

Exhibits the ability to maintain confidentiality, think and act independently with minimal supervision

Demonstrated organizational ability

Demonstrated project management

Communicates professionally in both written and verbal communication across all levels of internal and external customers

Maintains regular, consistent and punctual attendance at the assigned job location

Ability to operate applicable office equipment

Demonstrates working knowledge in applicable systems, including but not limited to Epic, Experian, OnBase, Excel, Word and Teams

Flexibility in job schedule to provide user support and advance project goals

Maintains regular, consistent and punctual attendance at the assigned job location

High school graduate or equivalent

Minimum of five years of work experience in healthcare revenue cycle with a minimum of two years working with hospital managed care contracts, reimbursement methodologies, coding, billing and claims

Experience with Epic, Experian, Craneware, Optum, 3M or other revenue cycle solutions software required

Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook & Excel), WebEx, Teams or other remote meeting/communication platforms