MANAGER, BILLING SERVICES OPERATIONS-ACUTE CARE

Description

MAKE A DIFFERENCE AT OCHIN

OCHIN is a rapidly growing national nonprofit health IT organization with two decades of experience transforming health care delivery to drive health equity. We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our mission.

OCHIN provides leading-edge technology, data analytics, research, and support services to nearly 1,000 community health care sites, reaching nearly 6 million patients nationally. We believe that every individual, no matter their race, ethnicity, background, or zip code, should have fair opportunity to achieve their full health potential. Our work addresses differences in health that are systemic, avoidable, and unjust. We partner, learn, innovate, and advocate, in order to close the gap in health for individuals and communities negatively impacted by racism or other structural inequities.

At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture of belonging.

Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 800 diverse professionals, working remotely across 46 states. We offer a generous compensation package and are committed to supporting our employees' entire well-being by fostering a healthy work-life balance and equitable opportunity for professional advancement. We are curious, collaborative learners who strive to live our values everyday: leadership, collaboration, excellence, innovation, inclusion, and stewardship. OCHIN is excited to support our continued national expansion and the increasing demand for our innovative tools and services by welcoming new talent to our growing team.

Position Overview

The OCHIN Billing Services Operations Manger is a leader who is responsible for ensuring the day to day operations of a team within OCHIN Billing Services.

Services functions efficiently and effectively. The Billing Services Operations Manager manages their team's performance and the development of its people, processes and improvements.

The Billing Services Operations Manager will be responsible for providing billing services to multiple members and will help their team provide superior billing services to OBS clients.

This position will involve detailed financial analysis to recognize potential high-risk accounts and develop techniques to help collect money and streamline processes. Working with related executives and partnering director, the manager develops actionable prioritized plans and empowers team members to reach the organization's billing services goals.

Essential Duties

• Manage workflows in alignment with departmental goals and objectives.
• Execution of individual and team goals and objectives in alignment organizational strategic initiatives
• Ensure work is allocated to teams based upon account needs, staff experience, and expertise.
• Prepare and deliver ongoing performance coaching and performance reviews for direct reports, using tools (i.e. skills assessments, audits, productivity reports, etc.) to measure technical skills and performance within your team.
• Identify and mitigate risks and escalate to leadership when appropriate.
• Identify, document, and improve processes in alignment with organizational best practice recommendations and in partnership with departmental leadership.
• Analyze the revenue cycle for each billing client to determine status, issues, and implement appropriate solutions when needed.
• Interface with customers and establish relationships that promote the timely and efficient resolution of revenue cycle issues.
• Ensure bills sent out are accurately processed following payer requirements and organizational policies.
• Prepare and present analysis of monthly team and member performance to OBS leadership identifying areas of focus and potential risk.
• Establish and maintain positive working relationships with patients, payers, department team members, OBS clients, OCHIN Members, vendors, and other stakeholders.
• Maintains the confidentiality of patient information, organizational data and information at all times in compliance with HIPAA regulations.
• Conform to shifting priorities, demands and timelines through analytical and problem-solving capabilities.
• Remain focused in the face of pressure and meet deliverables in accordance with expected timelines.
• Complete projects and tasks independently and with limited direct supervision.
• Other duties as needed to support the organizational mission and goals.

Requirements

• Bachelor's Degree in a Business, Healthcare or related field or a combination of college 1-2 years of relevant experience.
• Minimum of four (4) years of department supervisory or leadership roles
• Minimum of five (5) to seven (7) years of progressive growth in the Medical Billing field with a working knowledge of Medicare, Medicaid, MVA, Workers Comp and private insurance billing and reimbursement processes, and legal requirements of State, Federal and County policies, procedures and regulations and the release of confidential patient information, including HIPAA.
• Hospital Billing experience required.
• Medical Coding experience preferred.
• Strong communication skills, including written and verbal communication to multiple stakeholders while listening and understanding multiple perspectives.
• Knowledge of and experience with Epic practice management system preferred

Qualifications for PB Operations Manager include:

• Previous FQHC/RHC experience is preferred.
• Coding experience or CPC - Certified Professional Coder helpful.
• Experience using EPIC practice management system, strongly preferred.

Qualifications for HB Operations Manager include:

• Qualifications for HB Operations Manager include:
• Experience with Acute Care EHR software, EPIC, is required, specific expertise in HB Resolute module.
• Experience with HB Claims, Prelude, Cadence and EpicCare modules preferred.
• For HB focused positions, Critical Access Hospital or Method 2 Billing experience highly desired.

COVID-19 Vaccination Requirement

To keep our colleagues, members, and communities safe, OCHIN requires all employees-including remote employees, contractors, interns, and new hires-to be vaccinated with a COVID-19 vaccine, as supported by state and federal public health officials, as a condition of employment. All new hires are required to provide proof of full vaccination or receive approval for a medical or religious exemption before their hire date.

Work Location and Travel Requirements

OCHIN is a 100% remote organization with no physical corporate office location. Employees work remotely from home and many of our positions also support our member organizations on-site for new software installations. Nationwide travel is determined based on OCHIN business needs. Please inquire during the interview process about travel requirements for this position.

Work from home requirements are:

• Ability to work independently and efficiently from a home office environment
• High Speed Internet Service
• It is a requirement that employees work in a distraction free workplace

We offer a comprehensive range of benefits. See our website for details:

Equal Opportunity Statement

OCHIN is an equal opportunity employer. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills for the benefit of our staff, our mission, and the communities we serve.

As an equal opportunity and affirmative action employer, OCHIN does not discriminate on the basis of race, ethnicity, sex, gender identity or expression, sexual orientation, religion, marital or civil union status, parental status, age, disability status, veteran status, or any other protected characteristics. All aspects of employment are based on merit, performance, and business needs.

Base Pay Overview

The typical offer range for this role is minimum to midpoint, with the midpoint representing the average pay in a national market scope for this position. Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will consider a wide range of factors directly relevant to this position, including, but not limited to, skills, knowledge, training, responsibility, and experience, as well as internal equity and alignment with market data.

LI-Remote

Salary Description

$98,819 -$158,111