System Administrator - Revenue Cycle

Position Requirements may include, but not limited to

• Ensure deliveries that required signatures are documented
• Team super-user/trouble-shoot claims pass rate; CRM views and maintenance of CRM for team members; electronic claims/remits/eligibility set-up in partnership with IT team
• Responsible for confirming accurate system generation of weekly/monthly billing records; responsible for ensuring billing records are generated timely
• Responsible for onboard/set-up new payment agencies in system timely; assist on-boarding team to new requirements that agency would have regarding billing
• Set-up and maintenance of administration of users in secure provider web-portals
• Assist with onboarding/training of new team members
• Work cross-functionally to support client services, customer care, sales, and revenue cycle initiatives
• Responsible for pulling client and claim information for research projects that drive key company initiatives
• Act as back-up, and sometimes lead, to generate weekly and monthly utilization reports for specific agencies
• Dedicated to support the team in line with the company values and mission
• Audit various reports regarding signatures and delivery exceptions to ensure accurate billing records
• Assist with billing, other projects / duties as assigned

Required Skills and Experience

• Associate Degree in healthcare, medical billing or related field 
• At least 3 years of work-related experience in a healthcare-related field, such as accounts receivable, patient financial services, and/or revenue cycle in facility or physician practices
• Previous experience with prior authorization process working with both payers and providers
• Strong critical thinking, problem solving, and analytical skills
• Excellent verbal and written communication skills; ability to manage multiple priorities, demonstrated flexibility and ability to adapt and implement change in a timely and effective manner
• Proficient in Microsoft Office, especially Outlook, Word, and Excel
• Strong relationship building skills with payers and external/internal customers
• Excellent attention to detail to avoid administrative errors

Preferred Skills and Experience

• Bachelor's Degree healthcare, medical billing or related field 
• Experience with eligibility inquiry software, such as electronic 270 files and/or secure payer web portals 
• Experience with electronic and paper claim set-up and submissions (837/5010; paper CMS-1500 and paper UB); set-up of electronic remittances (837), clearinghouse, and other accounts receivable software
• AAHAM or HFMA certification

Physical Requirements

• Repetitive motions that include the wrists, hands and/or fingers
• Sedentary work that primarily involves sitting, remaining in a stationary position for prolonged periods
• Visual perception to perform job including peripheral vision, depth perception, and the ability to adjust focus