Children’s Hospital of Michigan is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. Imaging technology designed specifically for children provides advanced diagnostic services including Positron Emission Tomography (PET) and MRI. The Children’s Hospital of Michigan Emergency Department is a verified Level 1 Pediatric Trauma Center and dedicated pediatric burn center. Experts in pediatric critical care, rehabilitation, and neonatal and perinatal medicine provide care for thousands of children every year at Children’s Hospital of Michigan, Children’s Hospital of Michigan - Troy and six ambulatory sites.

Job Description:

1. High level of analytical ability required to compile data in the revenue cycle; review, interpret and analyze financial reports and activities and present findings. Ability to understand relationships within the revenue cycle process, identify potential discrepancies and resolve complex business operational issues.
2. Communication and/or interpersonal skills for contact with internal and external customers/stakeholders to obtain and interpret a variety of information based on knowledge of departmental practices, DMC policies and programs and specific technical and regulatory knowledge. Discretion must be exercised in deciding what and how to communicate. Conflict resolution skills must be exercised where policy issues are concerned both within the functional area and interdepartmentally. Diplomacy, tact and listening skills are required.
3. Strong technical knowledge of financial analysis billing and reimbursement experience.
4. Thorough understanding of financial services computer systems, patient management and accounts receivable and collection procedures.
5. Ability to support multiple projects concurrently and working in a matrixed environment.
6. Strong organizational, customer service, interpersonal, facilitation, and time management skills.
7. Proficient in the use of a personal computer and spreadsheet software including Word, Excel and Powerpoint.

1. Associates Degree or equivalent experience. Bachelor’s degree preferred in Business Administration, Healthcare Administration, or related area.
2. Three (3) or more years revenue cycle operations experience preferably in hospital setting. Experience with automated patient accounting systems and electronic billing systems. Managed Care background.
3. Strong working knowledge of third party billing and collection requirements to include Medicare. Medicaid, commercial and Managed Care Payers. Working knowledge of all Business Units, including Patient Access, HIM, Case Management and Finance

4. Knowledge of UB-04 and Explanation of Benefits (EOB) interpretation, along with CPT-4 and ICD-9 Coding and insurance collections and terminology.