With minimal supervision, actively collaborates with CBO teams and payors to enhance efficiencies, maintain system profiles, and reduce errors/denials that cause inflow and preventable loss write-offs. This role may also serve as a liaison between clinical departments, information services, the Helios team, and external vendors. Participates in and coordinates system or process improvements.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
Assists internal and external customers by retrieving and analyzing data, to maximize reimbursement and improve efficiency.
Responsible for the surveillance of key performance indicators, Epic Watch lists and work queues.
Works closely with clients to establish project goals and objectives, identify important operational data, and gain a clear understanding of the processes involved in delivering high-quality, relevant data.
Research and analyze third party insurance company data.
Works effectively as part of a team in resolving issues escalated through our internal ticket system.
Investigates, tests, and resolves problems related to errors.
Identifies and escalates issues along with their root causes that impact system performance.
Provides preventative maintenance, troubleshooting and resolutions related to system functionality and automation.
Focuses on continuous improvement best practices by identifying and diagnosing improvement opportunities.
Collaborates across teams to develop unified approaches and standard work. Collaborates with other team members to support processes and act as a liaison to other revenue cycle departments, IT, Provider Enrollment, Helios, as well as r
external vendors. Participates and coordinates system or process enhancements.
Creates visual aids, such as charts and diagrams, to make it easier to understand problems and suggests ideas for fixing them.
Analyzes root causes of specific problems through root cause data analysis, validation of data integrity and results. May use findings to develop action plans for improvement.
Create and maintain reporting using Epic's internal reporting system (Slicer Dicer) along with analyzing Epic dashboards, and Epic standard reporting.
EDUCATION AND EXPERIENCE:
Bachelor's Degree in Business Administration, Healthcare, Finance, IT, or related field, or a minimum of 7 years of experience in Hospital or Professional Billing, Contracting, Payment Variances, or other Healthcare Revenue Cycle experience required.
2 years of health care experience required, preferably at a large, complex, integrated healthcare organization. Outstanding analytical, communication and interpersonal skills are required. Knowledge of Medicare & Medicaid guidelines, and other third-party billing rules.
EPIC experience preferred.
Excellent oral and written communication skills.
Excellent analytical and critical thinking skills.
Ability to manage complex, simultaneous assignments with potentially conflicting priorities and deadlines.
All-inclusive decision-making skills.
Strong diplomacy and collaboration skills.
Strong knowledge of Microsoft Office, particularly Excel.
Has experience in gathering and organizing data from different sources and presenting findings to leadership in a way that is useful for decision support.
Additional Information
Organization: Corporate Services
Department: CBO - Transaction Flow
Shift: Day Job
Union Code: Not Applicable
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services - from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers .
Benefits
The health and overall well-being of our team members is our priority. That's why we offer support in the various components of our team's well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.
