CBO Business Operation Analyst - Payment Applications

With minimal supervision, actively collaborates with CBO teams and payors to enhance efficiencies. Focus on payment accuracy, reconciliation, and process optimization. This role will also serve as a subject matter partner to payment applications leadership and other CBO leadership. Participates in and coordinates system or process improvements.

EDUCATION:

• Bachelor's degree in Business Administration, Healthcare, Finance, IT, or a related field

OR

• Minimum of 7 years of experience in:

• Hospital billing

• Professional billing

• Contracting

• Payment variances

• Healthcare revenue cycle operations

• At least 2 years of healthcare experience required

• Preferably within a large, complex, integrated healthcare organization

Required Skills & Knowledge

• Strong knowledge of:

• Medicare and Medicaid guidelines

• Third-party billing rules and regulations

• Experience with:

• Data gathering and analysis

• Organizing information from multiple sources

• Presenting findings and recommendations to leadership

• Advanced Microsoft Office skills

• Especially Microsoft Excel

Preferred Qualifications

• EPIC experience preferred

Core Competencies

• Excellent verbal and written communication skills
• Strong analytical and critical thinking abilities
• Ability to manage multiple complex assignments simultaneously
• Strong prioritization and deadline management skills
• Sound decision-making abilities
• Strong collaboration, diplomacy, and interpersonal skills
• Drive timely resolution of issues across Payment Application workflows.
• Design and optimize Payment Application workflows to improve payment posting accuracy, streamline processes, and reduce rework.
• Oversee ACH and 835 enrollments, ensuring accuracy, timely processing, and resolution of enrollment-related issues.

Additional Information

• Organization: Corporate Services
• Department: CBO - Payment Application
• Shift: Day Job
• Union Code: Not Applicable