Operations Control Specialist| FT |DAY

Atrium Health; Charlotte (NC); On-site; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a detail-oriented professional to manage cash posting and patient accounting processes. This role involves ensuring the accuracy of billing, rebilling insurance claims, and maintaining compliance with HIPAA regulations. With a focus on enhancing system functionality and providing excellent service to internal customers, this position offers an opportunity to contribute significantly to the healthcare revenue cycle. If you have a background in business or healthcare administration and a passion for improving financial processes, this role could be a perfect fit for you.

Qualifications

• Bachelor's degree in Business or Healthcare Administration required.
• Minimum of 2 years experience in healthcare revenue cycle or accounting.

Responsibilities

• Perform daily balancing of cash posting and patient accounting cycle.
• Monitor and ensure accuracy of charges and rebill insurance claims.
• Investigate potential HIPAA violations and implement corrective actions.

Skills

Cash Posting

Patient Accounting

Rebilling Insurance Claims

HIPAA Compliance

Analytical Skills

Education

Bachelor’s Degree in Business Administration

Bachelor’s Degree in Healthcare Administration

4 years relevant experience

Job description

Overview

Job Summary:

Under the direct supervision of the Manager of the Central Business Office (CBO) and the general supervision of the Director of the CBO, performs the daily balancing of cash posting and the nightly patient accounting cycle while facilitating the correction of errors identified by the electronic billing software and compliance software. Monitors charges received daily from all systems during the nightly cycle to ensure accuracy in receipt, dates, and prices of charges. Performs rebilling of insurance claims and ensures that all systems are properly updated and noted to reflect rebills. Provides user access to various patient accounting systems and worklists. Responsible for updating patient insurance changes to encounters as requested. Monitors files sent and received from the patient accounting system to external vendors. Investigates potential HIPAA violations to determine necessary corrective action that should be taken. Deals with internal customers in a professional and businesslike manner. Analyzes departmental processes for the purpose of implementing enhanced system functionality.

Specifications:

1. Education: Bachelor’s Degree in Business Administration or Healthcare Administration; four (4) years of directly related experience providing skills comparable to a Business Administration degree program will satisfy the degree requirement.
2. Experience: Minimum of two (2) years relevant experience to include healthcare revenue cycle, accounting, finance, claims, or other similar experience.