When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
The HMFP Revenue Cycle Coordinator will work under the direction of Harvard Medical Faculty Physicians at BIDMC’s (HMFP) Director of Revenue Cycle Operations and closely with the HFMP Manager of Professional Billing. This position supports the Legacy and EPIC processes. This role is also involving key responsibilities by analyzing workflows, troubleshooting system issues, collaborating with end-users and other departments to resolve discrepancies, and ensuring compliance and efficiency.
Job Description:
Essential Responsibilities:
· Ability to navigate EPIC and oversee patient billing activities, understand key components of A/R follow-up, denials management, payment posting, and customer service inquiry resolution.
· Handling the EPIC printing work queue for Omega Departments
· Responsible for daily review of EPIC dashboards to escalate any areas that are lacking attention. Collaborates with HMFP RCM leadership on action plans and billing partner communications
· Trend and escalate any/all denial & payment issues to help resolve/rectify at the source. Interact directly with the various Billing Vendors, BIDCO, and Payers (if needed) to resolve potential errors and technical issues that can impact Departments, Finance, and Accounting.
· Prepare Financial Estimates based on Work Queue and request volume. Works closely with the estimate teams and departments to ensure accuracy.
· Manipulate and submit financial assistance/hardship spreadsheets to Billing Vendors provided by BIDMC and our affiliates. Maintain good working relationships with each Billing Vendor; develop knowledge of, and history with, their clients' accounts.
· Manage the transfer spreadsheet, erroneous Legacy payments received by HMFP/APHMFP billing vendors and assist with reallocation, identifying unposted cash and moving of money/funds to the appropriate subaccount by researching and reviewing individual payments. Legacy processes include the tracking, reporting and reconciliation of Legacy cash across 2 Tax IDs, 27 Group NPIs, 9 billing vendors, 2 main operating bank accounts, including 27 subaccounts and 25 lockboxes.
· Organizing all manual payments and correspondence, depositing to the appropriate TIN, and allocating funds to the applicable department using the Transfer Spreadsheet.
· Responsible for the verification of banking information on all paper checks sent to the wrong addresses. These checks are mailed to the Legacy lockbox for Legacy Billing Partner processing.
· Works requests from Compliance regarding requests for legal balances to attorneys.
· Works closely with the Accounting Department to resolve any discrepancies in the daily cash.
· Responsible for maintaining Pay Span and other payer website accounts for new and existing business partners and their staff.
· Performs all other duties and special projects as assigned by the Director of Revenue cycle Operations.
Required Qualifications:
· High School diploma or GED required. Bachelor's degree preferred.
· Epic Experience Preferred
· 1-3 years of related work experience required.
· Demonstrated cash reconciliation experience within healthcare or a financial environment.
· Strong analytical ability to identify, investigate, analyze, and resolve issues.
· Efficient and effective time management skills; ability to multitask and prioritize work with a strong attention to detail.
· Advanced skills with Microsoft applications, which may include Outlook, Word, Excel, PowerPoint, or Access, and other web-based applications. May produce complex documents, perform analysis, and maintain databases.
Competencies:
· Decision Making: Ability to make decisions that are guided by precedents, policies, and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.
· Strong organizational and communication skills.
· Problem Solving: Ability to address varied problems, requiring analysis or interpretation of the situation using direct observation, knowledge, and skills based on general precedents.
· Independence of Action: Ability to set goals and determine how to accomplish defined results with some guidelines. The Billing Manager & Revenue Cycle Director provide broad guidance and overall direction.
Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers.
Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families, and external customers.
Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures, and policies with the ability to use them in varied situations.
Team Work: Ability to work collaboratively in small teams to improve the operations of the immediate work group by offering ideas, identifying issues, and respecting team members.
Customer Service: Ability to provide a high level of customer service to patients, visitors, staff, and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem-solving. Ability to remain calm in stressful situations.
Physical Nature of the Job: Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, or pulling objects. Sitting most of the time, with walking and standing required only occasionally
Additional Job Description: Ad hoc projects and analysis as needed per the Director of Revenue cycle Operations.
Pay Range:
$27.40 USD – $37.50 USD
The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.
