Pre-Bill Operations Associate

Job Summary:

Under general supervision of the Director, SHMG Revenue Cycle, the Pre-Bill Operations Associate provides support relating to registration claim edits to facilitate a “clean” claim for billing submission to third-party payors.  The PBO Associate is responsible for analyzing claim edits to ensure demographic, insurance and charge related information is accurate and complete prior to timely initial submission of the claim.

Qualifications:

•    High school graduate. College degree preferred. 
•    Certification with National Association of Healthcare Access Management (NAHAM) Certified Healthcare Access Associate (CHAA) and/or Healthcare Financial Management Association (HFMA) Certified Revenue Cycle Representative (CRCR), or within one year of hire
•    Minimum of one (1) year of previous patient registration / insurance verification experience in a healthcare environment 
•    Previous coding, denials, or billing experience strongly preferred.
•    General revenue cycle experience is preferred.
•    Familiarity with EPIC Patient Access work queues preferred
•    Must have up to date knowledge of third-party rules and regulations. 
•    Proficient in Microsoft Office software. 
•    Must be comfortable operating in a collaborative, shared leadership environment. 
•    Strong analytic and problem-solving abilities and techniques with attention to detail. Strong problem-solving skills and analytical abilities to resolve routine to moderately complex problems.  
•    Well-developed interpersonal, written, verbal, and presentation communication skills. 

Salary Range: $20.52 - $33.70
Pay Grade: 24
Compensation may vary based upon, but not limited to: overall experience and qualifications, shift, and location.