Onboarding Specialist - Hospital Billing

Schedule:

Main Function:

The HB Onboarding Specialist serves as a key contact for cross-functional initiatives, ensuring effective communication and coordination across departments. The role manages special projects from conception to completion, aligning goals with organizational objectives and delivering results on time. It is also responsible for onboarding and training new Patient Account Representatives, including developing and maintaining training materials and standardized processes to ensure a successful onboarding experience. The position requires in-depth knowledge of the full revenue cycle, covering multiple insurance plans, specialties, and payer contracts across five health systems. The specialist identifies opportunities to improve operational efficiency and recommends solutions to enhance outcomes. Additionally, the role demands advanced proficiency in navigating and troubleshooting the EPIC EMR for patient accounting, claim status, payment review, and documentation, while ensuring financial integrity and compliance with all regulatory and internal requirements.

Job Specific Competencies:

• Project Coordination: Plan, organize, and oversees special projects, ensuring deliverables are met.
• Hospital Billing Expertise: In-depth knowledge of hospital billing processes, CPT/HCPCS coding, modifier usage, and payer reimbursement methodologies.
• EPIC EMR Proficiency: Advanced ability to navigate and utilize EPIC EMR for patient accounting, claim status, payment review, and documentation. Ability to work with ISD to identify EPIC related issues and opportunities which may involve testing.
• Analytical & Problem-Solving: Exceptional ability to analyze complex financial data, identify discrepancies, and develop effective solutions.
• Regulatory & Payer Compliance: Strong understanding and adherence to federal, state, and local regulations, including Medicare, Medicaid, and commercial payer guidelines specific to professional billing.
• Communication Skills: Excellent verbal and written communication for interacting with patients, payers, and internal teams. Acts as primary liaison between internal teams, leadership and external partners to facilitate collaboration and resolve issues.
• Attention to Detail: Meticulous accuracy in reviewing accounts and documenting actions.
• Organizational & Time Management: Ability to manage a high volume of diverse accounts and prioritize tasks effectively across multiple entities.
• Process Improvement Orientation: Proactive in identifying trends and suggesting enhancements to professional billing workflows.
• Training & Support: Act as a subject matter expert, providing guidance and support to billing staff on complex cases or new processes introduced through special projects.
• Patient Communication: Handle escalated patient inquiries regarding complex billing issues with empathy and clarity, ensuring a positive patient experience.

Qualifications:

• Multi-System Experience: Proven ability to manage billing and credit processes for multiple health systems simultaneously is highly preferred.
• Knowledge: In-depth understanding of hospital revenue cycle operations, medical billing terminology, CPT/ICD-10 coding, and payer reimbursement methodologies (Medicare, Medicaid, commercial insurance).
• Skills:
• Exceptional analytical and problem-solving abilities.
• Coding basics (ICD-10, CPT, HCPCS)
• Strong attention to detail and accuracy.
• Excellent verbal and written communication skills.
• Proficiency in using patient accounting systems (e.g., Epic) and Microsoft Office Suite (Excel, Word).
• Ability to work independently and as part of a team in a fast-paced, high-volume environment.
• Strong organizational and cross-functional communication skills.

Education and Experience:

• Required: High school diploma or equivalent.
• Preferred: Associates or Bachelors degree in Business Administration, Finance, Healthcare Administration, or a related field
• Required: Minimum of 5 years of dedicated experience in Hospital/Facility billing, with a strong emphasis on problem resolution and resolving complex billing related issues.
• Required: Demonstrated experience working with EPIC EMR for hospital billing.
• Highly Preferred: Experience managing hospital billing for multiple health systems.

Pay Range:$20.00 - $24.00 per hour

Starting Pay: Based on experience

Thompson Health is an EOE encouraging individuals with disabilities and veterans to apply