Essential Functions and Responsibilities of the Job
Provide professional and courteous service to all customers, communicate effectively in written and verbal form, and interact in a positive and constructive manner.
Maintain complete patient and employer confidentiality at all times in accordance with company and HIPAA requirements. Perform job functions in accordance with current departmental and company standards, policies, procedures, and directives.
Demonstrate teamwork by assisting coworkers with tasks and training as directed, and attend and participate in mandatory meetings.
Accommodate changes in departmental workload, prioritize responsibilities, multitask effectively, and use initiative to resolve problems with appropriate action and follow-through.
Keep the Director informed when problems may interfere with timely completion of work.
Maintain a clean, well-organized, properly stocked, and secure work area.
Be at work and be on time.
If approved for remote or hybrid work, adhere to all remote work agreement requirements, including maintaining productivity, responsiveness, confidentiality, secure handling of organizational and patient information, availability during scheduled work hours, and compliance with departmental expectations and applicable policies.
Follow company policies, procedures and directives
Interact in a positive and constructive manner
Prioritize and multitask
Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.
Experience
Minimum ten (10) years of experience in patient account billing and collections, including at least five (5) years of analytical and reporting experience in healthcare revenue cycle billing, claims processing, reimbursement, medical billing, healthcare financial analytics, or related business services.
Strong understanding of healthcare revenue cycle operations, including patient billing, collections, claims submission, payment posting, denials, accounts receivable, reimbursement, charge capture, insurance clearinghouses, HCFA-1500 forms, 835/837 EDI files, CPT/ICD-10 coding, payer requirements, regulatory requirements, contract terms, and healthcare audit guidelines.
Advanced proficiency with Microsoft Excel, SQL, database management tools, billing systems, EHR systems, and business intelligence tools such as Power BI or Tableau; experience with Python or other data manipulation tools preferred.
Experience designing queries, manipulating large volumes of data, validating data accuracy, and transforming complex revenue cycle information into clear reports, dashboards, visualizations, and leadership presentations.
Knowledge of EHR and billing applications such as Epic, NextGen, QNXT, or comparable healthcare information systems preferred, including experience extracting and analyzing data from Epic Clarity, Resolute, Cogito, or equivalent reporting environments.
Demonstrated ability to analyze trends, identify root causes, recommend corrective actions, and support workflow optimization or process improvement initiatives; Lean or Six Sigma experience is a plus.
Strong analytical, problem-solving, and trend identification skills, with exceptional attention to detail and accuracy in data analysis, reporting, validation, and presentation of findings.
Excellent written and verbal communication skills, including good listening skills and the ability to translate complex technical, financial, and cross-platform data into clear, actionable insights for technical and non-technical audiences, leadership, and cross-functional stakeholders.
Proactive mindset with the ability to manage multiple projects effectively and work collaboratively in a dynamic environment.
Education
Bachelor’s degree in healthcare administration, Health Informatics, Finance, Data Analytics, or Business Intelligence, Statistics, or a related field preferred.
Relevant certifications in data analytics or business intelligence, preferred.
