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CBO Billing Analyst

Description

HOW WE CARE FOR YOU:


At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.

  • Pension Plan
  • Retirement Plan
  • Comprehensive Benefits Package
  • Tuition Reimbursement
  • Benefits Effective Date of Hire
  • Same Day Pay through Daily Pay

SUMMARY

The CBO Billing Analyst extrapolates and validates data from multiple sources, organizes, analyzes, and presents to requestors based on the business need identified. Serves as intermediary to coordinate and communicate Patient Financial Services issues/trends with RRH Departments and Payor Representatives to ensure trends/issues/ opportunities with PFS are identified and resolved timely to meet and facilitate receivable management

STATUS: Full Time

LOCATION: Riedman Campus

DEPARTMENT: Revenue Integrity

SCHEDULE: Monday - Friday Days

ATTRIBUTES

• Bachelor’s degree preferred
• Minimum 2 years relevant experience within integrated health systems preferred
• Experience with EPIC, preferred.

RESPONSIBILITIES

METRICS & ANALYSIS: Demonstrates working knowledge of applicable laws and regulations pertaining to insurance regulatory laws, and compliance requirements. Assists CBO Management in achieving Operational Metrics and Goals. Assists CBO Billing team in resolving claims project problems, escalating payor issues as needed. Performs daily monitoring and Quality Assurance of electronic claims reports showing what was submitted, received, and processed by our clearing house. Analyzes financial data and extracts to assist in defining relevant information/trends. Provides concise and timely status reporting ad hoc.

COLLABORATION & IMPOVEMENTS: Recommends and implements process improvement ideas for the CBO billing department. Collaborates with CBO staff, Managers, and Directors to achieve workflow efficiencies within the EPIC Single Billing Office (SBO) Platform. Monthly review of Epic User Web notes to identify any updates on items that could increase our system efficiency. Maintains Departmental Payor Issue Logs including; Weekly Trending and Monthly Reconciliation to Collection Targets. Assists day to day with reporting and trending on payor related issues impacting claims processing and timely payments. Performs other duties as assigned.

PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

PAY RANGE: $55,500.00 - $70,000.00

The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran
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