EPIC PROFESSIONAL BILLING TEAM LEAD JOB

EPIC PROFESSIONAL BILLING TEAM LEAD

Location: BON SECOURS HEALTH SYSTE OFFICE-RICHMOND, RICHMOND, VA
Department: AMBULATORY IMPLEMENTATION
Schedule: Full Time
Shift:
Hours:


Job Details:

Bachelor's Degree
- Experience is required
-

LOCATION
Richmond, VA

POSITION SUMMARY
The Professional Billing Team Lead participates in the development and design of the application(s) for ambulatory business office procedures and is required to gain an in-depth knowledge of the application(s). The incumbent will be responsible for coordinating the design of billing, collection activities, transaction postings, contractual allowance processing and related business office processes. This person will be knowledgeable about organizational policies, procedures and business operations, and the area of business they are representing and the functionality available in the application(s).

The Professional Billing Lead will communicate with vendor’s installation team, review the software, analyze business operations, work with vendor and end users to tailor the system to the organization, and often participate in the initial training of end users. The incumbent will participate in current state mapping and future state workflows development, application design and development, testing support, issues resolution application integration, implementation and ongoing support activities. The Billing Lead will perform in-depth analyses of workflows, data collection, report details, and other technical issues associated with the use of vendor software.

The Billing Lead will be responsible for developing and documenting the internal procedures that will be used in conjunction with vendor applications and will assess implementation strategies and the impact those strategies will have on workflows and operations. The incumbent will actively participate in all Enterprise Design, Build, Validate (DBV) sessions together with local systems specific Build, Design, Validate (DBV) sessions.

REPORTING RELATIONSHIPS
The incumbent will report to the Director, Revenue Cycle in the area of business office and revenue cycle and will be a dedicated resource to the Clinical Information System (CIS) team and other appropriate groups at the local system and HSO (Health System Office) levels.

MAJOR DUTIES AND RESPONSIBILITIES
A representative summary of tasks to be performed by the incumbent is provided below. The incumbent may be asked to perform job-related tasks other than those specifically stated in this description. The duties and responsibilities of the position are to be carried out in a manner that is consistent with the mission, values and operating principles of Bon Secours, and in-line with the organization’s Code of Conduct.

The Professional Billing Team Lead serves on the team that designs, builds and validates the processes for their respective application(s). In addition to the duties discussed above, the incumbent is responsible for the following:

• Knowledgeable of all aspects of the operational areas of the business office, including billing, insurance verification, transaction posting, contractual allowance processing, UB coding and bill creation, collection activities related business office processes
• Assessing implementation strategies and the impact those strategies will have on workflows and operations
• Working closely with the technical support on issues of install choices, master file and category list set up, synonyms and preference lists, etc.
• Assisting in building new data sets and testing of new functionality
• Documenting current and new workflows
• Working with the appropriate subject matter experts in the Design, Build, Validate (DBV) sessions
• Understanding how workflow decisions translate to application configurations
• Developing and documenting internal procedures that will be used in conjunction with the business office applications
• Achieving in-depth knowledge of the software and serve as a bridge between end users and vendor implementation staff
• Participating in regular day-to-day communication with vendor’s installation team, reviewing the software, analyzing business operations, and working with the vendor and end users to tailor the system to the organization
• Performing in-depth analyses of workflows, data collection, report details, and other technical issues associated with the use of the software
• Troubleshooting problems or questions from users

EDUCATION AND EXPERIENCE
The incumbent must be flexible, highly collaborative and consistently work to fill gaps and avoid overlaps in local system activities. A key requirement for the incumbent is to continuously listen, react and suggest ways to complement or assist the work of others. The ideal manifestation of the role is when all CIS involved parties seek out the incumbent as an expert resource and thought partner, which will ensure that the work is fluid and relevant to current issues.

Minimum Required Qualifications
• Certification in Professional Billing, Cadence and/or Prelude
• Bachelor's degree from an accredited university or college in the Business Sciences, Health Sciences (Nursing, Medicine, etc.) or in Information Systems. Candidates who do not meet this requirement may be considered if they have achieved applicable certifications and requisite work experience
• Clinical or operational experience in the area related to Professional Billing (Cadence or Prelude experience also considered)
• Demonstrated proficiency with information systems technology
• Demonstrated knowledge of revenue cycle management
• Ability to facilitate the engagement of end users in the Design, Build, Validate Sessions
• Demonstrated workflow process analysis and design
• Demonstrated facilitation/training skills
• Strong assertiveness skills, ability to manage conflict in a variety of situations
• Strong communication and interpersonal skills
• Demonstrated ability to align and motivate key process stakeholders, including patients, HIM staff, scheduling staff, registration staff, unit clerks, nurses, physicians, and other clinical/administrative staff
• Demonstrated ability to interact with multidisciplinary teams
• Achievement of Application Certification within 120 days of employment
• Proficient with Microsoft Office Suite, email, intranet, internet, and other systems

Preferred Qualifications
• Experience with implementing clinical information systems and/or large-scale and complex standardization and implementation of an ERP is highly desirable
• Epic certification in the application being represented
• Demonstrated application design and implementation skills
• Experience in Epic installations
• Experience in implementing the Epic Resolute application
• Knowledge and/or experience in the coordination claims and remittance activities, including submitting and processing paper and electronic claims
• Demonstrated knowledge of inpatient, outpatient, and ancillary billing functions and activities
• Demonstrated knowledge or experience with the following concepts: account receivables, billing, paperless collections/follow up, transaction editing, payor management, electronic data interchange, payment posting, refunds, collection worklisting, fee schedules, deductibles, bad debt, write offs, payors, financial service codes, coding/charge capture, charge review, claims/claims editing, payment posting, customer service/credit & collections, insurance follow up, and coordination of benefits
• Demonstrated experience in using IT applications to improve revenue cycle results, including cash collections, days in A/R, bad debt and denial reductions

HR Use Only: J2WIT

Nearest Major Market: Richmond
Job Segments: Accounts Receivable, Claims, EMR, ERP, Finance, Healthcare, Information Systems, Insurance, Management, Manager, Technical Support, Technology, Testing