Billing Operations Lead - Revenue Cycle & Claims

Connecticut Children's; Hartford (CT); On-site; USD 70,000 - 90,000; Full time

Job summary

Connecticut Children’s is seeking an Assistant Management professional for the Business Office to oversee facility and professional claim billing, credentialing, denial resolution, and daily cash reconciliation. You will hire, train, and evaluate staff while promoting an efficient revenue cycle aligned with organizational policies.

You will collaborate with Patient Access, Health Information Management, Managed Care, Revenue Integrity, and Utilization Review to maintain a steady cash stream and

Qualifications

• High School Diploma or GED required.
• Associates degree preferred.
• 2–3 years healthcare billing experience; supervisory experience.
• EPIC systems experience/certification preferred.

Responsibilities

• Proactively identifies areas of opportunity for improvement and communicates to manager.
• Remains current with core knowledge of payer policies, contracts, and administrative bulletins.
• Creates and prepares all necessary documentation related to staff education and training.
• Monitors productivity and conducts quality reviews on staff performance.
• Hire, train, coach, and mentor direct reports.
• Supports department and senior staff with project work and office management tasks.
• Communicates with IT department and outside vendors to assure system functionality.
• Develops and documents system procedures and workflows.
• Ensures billing practices adhere to Federal and State regulations.
• Ability to manage both short and long term goals and day-to-day operations.

Skills

Verbal and written communication

Interpersonal skills

Problem solving

Attention to detail

Education

High School Diploma

Associates degree preferred

EPIC Certification preferred

Tools

EPIC software

Job description

Connecticut Children’s is seeking an Assistant Management professional for the Business Office to oversee facility and professional claim billing, credentialing, denial resolution, and daily cash reconciliation. You will hire, train, and evaluate staff while promoting an efficient revenue cycle aligned with organizational policies.

You will collaborate with Patient Access, Health Information Management, Managed Care, Revenue Integrity, and Utilization Review to maintain a steady cash stream and