HOSPITAL BILLING ADMINISTRATOR at Covenant Healthcare in Saginaw, Michigan

Job Description:

Covenant HealthCare

US:MI:SAGINAW

DAY SHIFT

FULL TIME BENEFITED

Summary:

The Hospital Billing Administrator is responsible for administering all patient accounting services throughout the hospital with a primary emphasis on the Central Business Office. Will work closely with IT Application Analysts to ensure ongoing success and maintaining vendor software at Covenant HealthCare. This position is responsible for managing the utilization of the software within hospital departments related to accounts receivable and in depth understanding of the billing and revenue cycle EMR as well as best practices/optimization. This position must maintain and support systems while also providing training and software upgrade support for hospital billing team members. May also provide basic build and configuration of systems and work queues. The Hospital Billing Administrator is responsible for achieving a solid working knowledge of the software and functionality. The Hospital Billing Administrator will work with our vendors and Covenant representatives from multiple departments, both super users and end users, to communicate changes within the vendor software to fit the organization's needs. This position is also responsible for general communication of Federal, State and all related third-party information to management, staff, and all other related areas.

Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation.

Responsibilities:

Contributes to organizational success targets for days in accounts receivable and patient satisfaction.

Development and assists with maintenance of workflow standards within Epic. Identifies problem areas in accounts receivable from dashboard review and assists manager with outcomes.

Facilitates user requests for system output, optimization, work queue functionality, EMR rules, and other changes.

Liaison between Patient Administration departments and all other customers.

Recognizes, investigates, and solves routine and complex Patient Administration and billing problems. May seek assistance from the Manager of Patient Administration with difficult situations.

Participates in quality improvement activities.

Maintains compliance and other regulatory standards.

Generate reports for LEAN MDI huddles and various uses.

Supports manager with internal audit support, providing sampling and statistics for training and compliance needs. Applies benchmarking standards for comparison and recommendations between Patient Administration departments. Work closely with hospital billers and team leads to resolve IT issues and optimize system to relieve accounts receivable.

Maintain both EPIC and Quadax (Claim Scrubbing Software) security, users, and rules with expert functionality for the organization.

Responsible for generating payor reports and communicating with reps to facilitate weekly/monthly meeting with hospital billing staff.

Performs software quality assurance testing and acts as an EPIC "builder".

Tracks user expectations and cultivates user feedback for system enhancements.

Works closely with EPIC analysts and EPIC TS/Super Users to develop, build and optimize the EMT.

Performs weekly ticket calls to streamline systems and resolve issues with IT and internal departments.

Performs other duties as assigned.

Other information:

EDUCATION/EXPERIENCE REQUIREMENTS

Associates degree required, Bachelor's degree preferred.

Three (3) years of hospital revenue cycle experience required.

Three (3) years proven experience with Account Receivable Management in a healthcare setting.

Must have extensive knowledge of billing and collection process.

Electronic billing experience required. Epic Experience (certification to be earned on job).

Previous experience in supervision with emphasis on employee and problem resolution skills preferred.

KNOWLEDGE/SKILLS/ABILITIES

Strong mathematical and financial analysis skills.

Demonstrated competency in principles and legal implications of credit and collections, accounting theory and management.

Excellent communication skills.

Knowledge in third party reimbursement, including Medicare, Medicaid regulations and guidelines is required.

Knowledge of the Federal and State regulations relating to admission and hospital business office procedures is required.

A thorough understanding of the healthcare revenue cycle and departmental performance improvement.

Knowledge of the current principles, techniques and procedures regarding the management of Central Business Office. Excellent PC experience including MS Office Products and EMR preferred.

WORKING CONDITIONS/PHYSICAL DEMANDS

Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards.

Frequent standing, walking, sitting, twisting, reaching, handling, fingering, feeling, talking, and hearing.

Frequent near vision, depth perception, midrange, far vision, visual accommodation, color vision and field of vision.

Occasional lifting, carrying, pushing, pulling, climbing, balancing, stooping, kneeling, crouching, and squatting.

Occasional lifting 0-25 lbs.

NOTICE REGARDING LATEX SENSITIVITY IN APPLICANTS FOR EMPLOYMENT.

It has been determined that Covenant HealthCare cannot provide a latex safe or latex free work environment at any of its facilities. Unfortunately, that means that any individual, including an applicant or an employee, is likely to be exposed to latex while on Covenant's premises. Therefore, latex tolerance is considered to be an essential function for any position with Covenant.