Revenue Cycle Business Partner II

Boston Medical Center; United States; A distancia; USD 78.000 - 113.000; Jornada completa

Descripción de la vacante

Boston Medical Center is seeking a Revenue Cycle Business Partner II to provide analytical support across the SBO for BUMG and related departments. The role requires deep knowledge of physician and hospital billing, Epic workflows, and strong cross-functional communication to resolve high-exposure issues.

You will manage data, metrics, and strategic initiatives, guiding senior leadership on vendor performance while coordinating with Finance, Compliance, and Revenue Cycle teams in a fast-paced

Formación

• Bachelor’s degree in Business/Healthcare preferred or equivalent.
• 3–5 years in healthcare auditing, coding, finance or revenue cycle management.
• Academic Medical Center setting experience preferred.

Responsabilidades

• Oversee monthly reconciliation of account placements with vendors.
• Provide oversight for physician departments with billing and vendors.
• Monitor charging and billing processes to ensure proper capture.
• Track charge error trends and develop reporting for resolutions.
• Lead large, complex revenue cycle projects.
• Collaborate with Revenue Cycle Operations and Compliance.

Conocimientos

Independent work

Time management

Problem management

Process analysis

Root cause analysis

Interviewing skills

Listening skills

Communication skills

Organizational skills

Project management

Research skills

Strategic thinking

MS Office

Epic knowledge

NThrive knowledge

Interpersonal skills

Analytical skills

Educación

Bachelor's degree in Business/Healthcare

Herramientas

Epic

nThrive

Descripción del empleo

POSITION SUMMARY

Under the direction of the Senior Manager, Vendor Management, the Revenue Cycle Business Partner II will provide analytical support to resolve various high exposure operating and finance issues across all areas of BOSTON Medical Center and Boston University Medical Group (BUMG). The Revenue Cycle Business Partner II position requires minimal supervision and is able to work independently and has in-depth knowledge of physician billing, hospital billing, charging workflows, vendor workflows and policies and procedures for the SBO. Monitors regulatory changes and payer requirements for coding and billing and applies this knowledge appropriately in collaboration with appropriate teams. Due to the service focus and project management emphasis, this position requires strong interpersonal and communication skills, well-developed analytical and organizational skills, and the ability to meet deadlines within a high-pace environment. Lead large projects and conduct detailed assessments to resolve problems identified by the Senior Manager, Sr. Director and VP. The Revenue Cycle Business Partner II is responsible for identifying and implementing corrective action plans for the processes and systems that leads to lost revenue opportunities and reduced reimbursement for the care provided to patients. The Revenue Cycle Business Partner II acts as a liaison between the all Revenue Cycle billing office, third party billing vendor and revenue generating departments and provides advanced analytical support, lead large complex projects and developed detailed resolution plans. Creates a positive, constructive, and supportive relationship between the physician departments, the facility and any other personnel needed to resolve issues. Position: Revenue Cycle Business Partner II Department: PFS Administration Schedule: Full Time, Quincy MA

ESSENTIAL RESPONSIBILITIES/DUTIES

• Responsible for the oversight and completion of the monthly reconciliation of account placements with vendors and validates account level detail on monthly invoices.
• Provide oversight for assigned physician departments in collaboration with Professional Billing Office Managers, revenue cycle, third party vendor and BUMG Finance and BMC Finance.
• Monitors current charging and billing processes in physician departments to ensure appropriate capture and resolve issues within work queues based on system edits.
• Track charge error trends, patterns and opportunities and develop reporting packet to share findings and make recommendations on long-term resolution in partnership with billing compliance, coding and government and third party payer requirements.
• Perform necessary actions to work assigned work queues accurately and within established timeframes.
• Establish Epic work queue data metrics, and associated root cause analysis.
• Executes workflow processes to correctly identify deficiencies.
• Assess the accuracy and build of back-end workflows in EPIC, including work queue structure, edit accuracy, and follow up workflows and make recommendations on process improvements.
• Leads and participates in large complex projects related to revenue cycle initiatives.
• With limited management oversight, develop work plans and lead project timelines for large and complex initiatives to complete assigned projects in the most timely and efficient manner possible.
• Collaborates with Revenue Cycle Operations staff, Compliance and other Revenue and Finance departments on revenue management initiatives.
• Provides guidance to senior leadership regarding ongoing vendor performance and opportunities to change vendors or service offerings Act as a team liaison as internal team members perform various assessments, analytical research and support including, but not limited to: root-cause, analyses, cost/benefit analyses, and financial projection for departments based on volume and/or revenue.
• Provide first tier escalation support to SBO Business Associates, departmental stakeholders, and Revenue Cycle departments, internal and external customers.
• Collaborate effectively with diverse groups of people and various Revenue cycle and physician departments throughout the organization on revenue improvement initiatives.
• Maintain professional skills and knowledge through attendance at in-service programs, conferences, workshops and other educational programs and review of current literature.
• Prepare activity metrics as required.
• Utilize Hospital's Core Values as the basis for decision making and to facilitate hospital mission.
• Follow established hospital infection control and safety procedures.
• Perform other duties as needed and required. Must adhere to all of BMC’s RESPECT behavioral standards.
• The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

EDUCATION: Bachelor’s degree in Business/Healthcare related field preferred or equivalent combination of formal education and work experience.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: None

EXPERIENCE: Minimum of three to five years of experience in healthcare auditing, coding, finance, revenue cycle management, patient accounting and/or physician billing, preferably in an Academic Medical Center setting

KNOWLEDGE, SKILLS & ABILITIES

• Ability to work independently and possess effective time management skills to permit handling of multiple projects and or tasks
• Proven advanced level abilities in problem management, process analysis, and root cause analysis
• Interviewing/listening skills required to enable talking with individuals and groups about current processes and issues to ask the right questions to yield essential information that will be used to evaluate processes and determine potential solutions.
• Ability to communicate analysis including trends and opportunities to stakeholders both verbally and through writing
• Excellent organizational and project management skills.
• Well-developed research skills.
• Strategic thinker with business acumen.
• Superior analytical skills to evaluate information gathered from multiple sources and synthesize into actionable information
• At minimum, intermediate level of proficiency with Window based software, including but not limited to Microsoft Word, Outlook, Excel and PowerPoint
• Excellent writing, interpersonal and organizational skills
• Working knowledge of healthcare applications including, but not limited to Epic and nThrive.

IND123 Compensation Range

$78,000.00- $113,000.00 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.

Equal Opportunity Employer/Disabled/Veterans

Boston Medical Center is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to [e-mail] or call 617-638-8582 to let us know the nature of your request. Boston Medical Center participates in the Electronic Employment Verification Program. As an E-Verify employer, prospective employees of BMC must complete a background check before beginning their employment at the hospital. BMC requires all staff to be vaccinated against COVID-19 and flu, as well as receive a booster dose of the COVID-19 vaccine. Working at Boston Medical Center is more than a job. It’s a chance to make a difference as part of our mission to provide exceptional and equitable care to all. As a nationally-recognized leader in health equity, nursing, initiatives to combat climate change, and many other areas, BMC is dedicated to improving the health of our community in Boston and beyond. BMC’s mission to provide exceptional care without exception extends to our employees, and we have been recognized as a top employer and best place to work. A strong sense of teamwork and support for our staff are the bedrock of BMC, as we know that we can only provide exceptional care to patients when our staff are cared for too.