The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

• Collects, reconciles and scans all provider billing from specified departments on a daily basis for CBO.
• Performs post-reconciliation on billing to ensure timely coding and charge entry.
• Regularly analyzes data for assigned work queues and prepares reports on provider's performance as required and/or requested.
• Serves as a resource for provider questions / concerns related to billing and business office functions.
• Troubleshoots and resolves any technological or process issues encountered throughout daily activities.
• Regularly reports to Director on any areas for improvement identified within business office procedures and enacts any upper-level recommendations quickly.
• Plays an active role in setting goals with management, communicates goals to providers, and evaluates key performance indicators to ensure performance measures align with organizational goals; helps plan initiatives to increase performance as needed.
• Continually evaluates departmental process flows and practices in order to identify potential process inefficiencies and seek opportunities for improvement; conveys feedback and suggestions to Director.
• Leads the orientation and training process for newly hired staff. Assists in developing new-hire curricula, providing initial education, and planning ongoing professional development opportunities for existing staff members.
• Regularly assesses / monitors quality and productivity levels for both individual staff members and the team as a whole; identifies and re-trains underperforming staff members as needed. Meets with team members falling below organizational productivity and/or quality standards to develop and administer a performance improvement plan.
• Acts in accordance with UM BW's mission and values, while serving as a role model for ethical behavior interacting with patients, relatives, and organizational staff in a professional manner.
• Ensures departmental staff members adhere to federal and state regulations related to the protection of patient information (e.g., the Health Insurance Portability and Accountability Act (HIPAA)) as well as facility-specific guidelines.

Education and Experience

• High School Diploma or equivalent (GED) is required.
• Three years healthcare business office experience (in areas such as accounts receivable, collections, billing, cash posting etc.) preferred.

Knowledge, Skills and Abilities

• Highly effective verbal, written and interpersonal communication skills to communicate effectively with all levels of staff, patients and physicians.
• Excellent understanding of medical terminology, billing codes, and coding systems (ICD-9, ICD-10, HCPCS, Modifiers, CPT).
• Excellent working knowledge of the regulatory issues associated with Protected Health Information.
• Ability to judge the level of confidentiality required for the use of Protected Health Information, exhibit integrity in use of dissemination of such information.
• Demonstrated knowledge of MS Office software applications such as Microsoft Excel and Microsoft Word and billing system is required.
• Ability to maintain a culture of excellent customer service, open and friendly staff relations with all levels of staff.
• Strong critical thinking, organizational, and problem solving skills.
• Ability to work in a team environment and motivate team members.Ability to defuse conflicts and handle stressful situations in a positive manner.