Time Type:

Full time

Hours per Pay Period:

80

Shift:

Day Shift

Minimum:

$63,225.00 USD

Maximum:

$85,539.00 USD(This represents the rate for an individual with significant experience in this job in a full-time 40 hour per week position)

Department:

Revenue Cycle

Current Bay Area Hospital Employee: If you are a current Bay Area Hospital employee, please apply through the Workday internal career site.

The future looks bright at Bay Area Hospital, and we are always searching for quality people to join our team. We offer a great atmosphere, competitive pay, a wide array of benefits, and many growth opportunities for our employees.

Job Description:

Coordinator SBO Revenue Integrity

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.

SKILLS AND ABILITIES

(Essential job requirements listed in bold)

• 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

EDUCATION/CERTIFICATIONS/LICENSES/DEGREES

(Essential job requirements listed in bold)

• High school graduate or equivalent
• Associate or bachelor’s degree preferred
• Current Epic certifications or ability to gain certification within 180 days (6 months) preferred:
• Resolute Hospital Billing Expected Reimbursement Contracts Administration
• Resolute Professional Billing Reimbursement Contracts
• Healthcare certification (AAHAM, NAHAM, HFMA), Epic Certification and/or training preferred

EXPERIENCE

(Essential job requirements listed in bold)

• 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
• Project management, technical implementations, and change management experience a plus

GENERAL INFORMATION

Union Affiliation:  None

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position.  They are not intended to be an exhaustive list of all duties, responsibilities and job skills required. 

Physical/Mental/Environmental Requirements

• Requires extensive sitting with periodic standing and walking
• May be required to lift up to 20 pounds
• Requires significant use of personal computer, phone and general office equipment
• Needs adequate visual acuity, ability to grasp and handle objects
• Needs ability to communicate effectively through reading, writing, and speaking in person or telephone
• May require off-site travel

Compensation Grade:

F

Compensation Grade Profile:

F - Salaried

Bay Area Hospital is an Equal Opportunity Employer.

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