Revenue Cycle Business Partner II

Boston Medical Center (BMC) is hiring a Revenue Cycle Business Partner II to provide advanced analytical and project support across revenue cycle operations. The role leads complex initiatives, assesses billing and charging workflows, and develops corrective actions to address revenue loss and reimbursement issues while coordinating with vendors, physician departments, and finance teams.

Responsibilities

• Responsible for the oversight and completion of the monthly reconciliation of account placements with vendors and validates account level detail on monthly invoices
• Provide oversight for assigned physician departments in collaboration with Professional Billing Office Managers, revenue cycle, third party vendor and BUMG Finance and BMC Finance
• Monitors current charging and billing processes in physician departments to ensure appropriate capture and resolve issues within work queues based on system edits
• Track charge error trends, patterns and opportunities and develop reporting packet to share findings and make recommendations on long-term resolution in partnership with billing compliance, coding and government and third party payer requirements
• Perform necessary actions to work assigned work queues accurately and within established timeframes
• Establish Epic work queue data metrics, and associated root cause analysis. Executes workflow processes to correctly identify deficiencies
• Assess the accuracy and build of back-end workflows in EPIC, including work queue structure, edit accuracy, and follow up workflows and make recommendations on process improvements
• Leads and participates in large complex projects related to revenue cycle initiatives. With limited management oversight, develop work plans and lead project timelines for large and complex initiatives to complete assigned projects in the most timely and efficient manner possible
• Collaborates with Revenue Cycle Operations staff, Compliance and other Revenue and Finance departments on revenue management initiatives
• Provides guidance to senior leadership regarding ongoing vendor performance and opportunities to change vendors or service offerings
• Act as a team liaison as internal team members perform various assessments, analytical research and support including, but not limited to: root-cause, analyses, cost/benefit analyses, and financial projection for departments based on volume and/or revenue
• Provide first tier escalation support to SBO Business Associates, departmental stakeholders, and Revenue Cycle departments, internal and external customers
• Collaborate effectively with diverse groups of people and various Revenue cycle and physician departments throughout the organization on revenue improvement initiatives
• Maintain professional skills and knowledge through attendance at in-service programs, conferences, workshops and other educational programs and review of current literature
• Prepare activity metrics as required
• Utilize Hospital's Core Values as the basis for decision making and to facilitate hospital mission
• Follow established hospital infection control and safety procedures
• Perform other duties as needed and required

Preferred

• Bachelor's degree in Business/Healthcare related field preferred
• preferably in an Academic Medical Center setting
• Bachelor’s Degree
• Healthcare Education
• Academic Medical Center Experience

Benefits

• Medical, dental, vision, and pharmacy benefits
• Discretionary annual bonuses
• Merit increases
• Flexible Spending Accounts
• 403(b) savings matches
• Paid time off
• Career advancement opportunities
• Resources to support employee and family well-being
• Remote work in the United States of America

Company

• Academic medical center and hospital providing comprehensive healthcare
• Boston, Massachusetts, USA
• http://www.bmc.org/
• Founded in 1996
• 5001-10000 employees

Qualifications

• Minimum of three to five years of experience in healthcare auditing, coding, finance, revenue cycle management, patient accounting and/or physician billing
• Ability to work independently and possess effective time management skills to permit handling of multiple projects and or tasks
• Proven advanced level abilities in problem management, process analysis, and root cause analysis
• Interviewing/listening skills required to enable talking with individuals and groups about current processes and issues to ask the right questions to yield essential information that will be used to evaluate processes and determine potential solutions
• Ability to communicate analysis including trends and opportunities to stakeholders both verbally and through writing
• Excellent organizational and project management skills
• Well-developed research skills
• Strategic thinker with business acumen
• Superior analytical skills to evaluate information gathered from multiple sources and synthesize into actionable information
• At minimum, intermediate level of proficiency with Window based software, including but not limited to Microsoft Word, Outlook, Excel and PowerPoint
• Excellent writing, interpersonal and organizational skills
• Working knowledge of healthcare applications including, but not limited to Epic and nThrive
• Bachelor's degree in Business/Healthcare related field preferred
• Preferably in an Academic Medical Center setting

Required skills

• Epic, Finance, Medical Coding, NThrive, Patient Accounting, Physician Billing, Process Analysis, Revenue Cycle Management, Root Cause Analysis

Preferred skills

• preferably in an Academic Medical Center setting

Experience

• 3-5 years