Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.
Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.
The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).
Pay Range:
$75,712.00 - $98,945.60Scheduled Weekly Hours:
40Position Overview
The role is the internal business parter for a wide range of Revenue Cycle departmental needs, projects, and essential functions including managing cross departmental requests, acting as the liaison to IT to aid in data integrity, accuracy, and performance of revenue cycle application systems. This role focuses on organization and collaboration to optimize system configuration, clearinghouse functions, and supporting key processes that directly impact reimbursement accuracy and operational efficiency. Directly supports leadership meetings, implementations, and needed change control as it pertains to Revenue Cycle applications, both internal and external.
MINIMUM REQUIREMENTS
Education: Bachelor's degree or combination of education and relevant experience, minimum of three years in Revenue Cycle operations, and/or Healthcare systems administration.
Experience: Three years in Revenue Cycle operations, and/or Healthcare systems administration. Proficiency in front end user functionality in Electronic Medical Records and/or systems management and data reporting.
Other Credentials:
Knowledge and Skills: Detailed oriented with an emphasis in handling multiple projects at once. Possesses high level understanding of clearinghouse functionalities, third-party portals, payor regulations and billing requirements, and government reimbursement programs. Ability to run and interpret billing, coding and revenue reports.
Special Training: Intermediate Microsoft Office applications, particularly Excel, Word and PowerPoint. Electronic Data Interchange claims submission evaluation and/or understanding required. Experience with Athena, Cerner, and/or Epic preferred.
Mental, Behavioral and Emotional Abilities: Ability to effectively communicate, collaborate, and relate to the Information Technology team, Revenue Cycle vendors, and other departmental Revenue Cycle leaders.
Usual Work Day: 8 Hours
Reporting Relationships
Does this position formally supervise employees? No
If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.
ESSENTIAL FUNCTIONS
Creates, maintains, and manages users and their access to Revenue Cycle applications not managed by the Capital IT team.
Acts as System Administrator for all third-party portals and websites used by the Revenue Cycle team, including assigning/terminating access, auditing access, and communicating updates regarding those applications not managed by the Capital IT team.
Serves as a subject matter expert for the Electronic Medical Records applications and other platforms used by the Revenue Cycle department.
Organizes, reviews, and triages requests and tickets as it pertains to Capital IT team and external software/application vendors.
Aids in review of EDI transactions and technical troubleshooting of claims submission and Revenue Cycle application functionality.
Assists with system user training, trouble shooting, software testing and implementation, where needed to improve system adoption and accuracy across the revenue cycle team.
Supports Revenue Cycle leadership with implementations and integration projects for new technologies, automation, or system enhancements, including organizing, tracking, and in some cases performing tasks assigned to the Revenue Cycle team.
Thoroughly understands and utilizes electronic health record systems' reporting and operating capabilities.
Collaborates with the mapping of current state, identifying gaps and enhancements needed in collaboration with IT Rev cycle analyst.
Serves as the point person for Revenue Cycle process and application user questions for current and new Revenue Cycle team members
Acts as communication business partner between cross functional teams on behalf of Revenue Cycle to ensure ongoing education, training and timely problem resolution.
Communicates with Capital Information IT Interface team on application interface issues affecting timely billing
Creates and maintains a clear communication strategy and proactively facilitates, and/or participates in both internal and external meetings pertaining to duties described above.
Perform other duties as assigned.
PHYSICAL DEMANDS AND WORK ENVIRONMENT
Frequent physical demands include:
Occasional physical demands include:
Continuous physical demands include:
Lifting Floor to Waist 0 lbs. Lifting Waist Level and Above 0 lbs.
Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Color Discrimination, Accurate Depth Perception, Accurate Hearing
Anticipated Occupational Exposure Risks Include the following: N/A
This position is eligible for the following benefits:
Medical Plan
Prescription drug coverage & In-House Employee Pharmacy
Dental Plan
Vision Plan
Flexible Spending Account (FSA)
- Healthcare FSA
- Dependent Care FSA
Retirement Savings and Investment Plan
Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
Disability Benefits – Long Term Disability (LTD)
Disability Benefits – Short Term Disability (STD)
Employee Assistance Program
Commuter Transit
Commuter Parking
Supplemental Life Insurance
- Voluntary Life Spouse
- Voluntary Life Employee
- Voluntary Life Child
Voluntary Legal Services
Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
Voluntary Identity Theft Insurance
Voluntary Pet Insurance
Paid Time-Off Program
The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.
The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.