Work where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryThe Quality Revenue Cycle Billing and Auditor Specialist is responsible for ensuring accuracy compliance compliance and efficiency withing the billing office The auditor will implement and maintain an audit and education program for the billing office The program is for internal revenue cycle colleagues and external vendors associated with the insurance portion of the Hospital Billing and Professional Billing Revenue Cycle and will correlate back to the expectations for productivity and quality The Auditor will also be responsible for contributing to the development of the billing office staff Expected Outcomes To reduce denial errors improve billing practices ensure proper write off and ensure alignment with regulatory and organizational standardsPosition ResponsibilitiesKey areas of responsibilityCompletes quality and productivity audits of team members and vendors to ensure high quality work is being performed provides feedback and re training as appropriate Works closely with the management team when employee issues arise to assist in evaluating quality and productivity Compiles and prepares reports for distribution to key stakeholders Analyzes errors and workflows to find opportunities for improvement and standardization Identifies common issues and effectively communicates changes or updates via memos and other documentation to disseminate compliant requirementsCollaboratively and independently prepares material and trains staff and vendors to prepare and improve colleagues skills for working denials and navigating the billing system Epic while assessing training needs and develops curriculum and training programs and evaluates the effectiveness of the training importance of quality follow up and documentationCollaboratively and independently in the creation of new patient finance workflows department policies and protocols and engages the colleagues to ensure successful implementation of the information Acts as a role model for team members by incorporating the HW business model of Hartford Healthcare to improve workflows eliminate waste and provide a patient centric experience into daily work Provides support for other ad hoc analyses and projects as needed Provides input on decisions that affect workflows affecting timely resolution of insurance accountsMaintains current knowledge of established payer policies system policies and procedures which may include but not limited to patient confidentialitypatient rights collections government and third party payer regulations Keep up to date with changes in healthcare laws insurance policies and billing codes CPT ICD HCPCS and assist in preparing for internal or external audits related to billing and claimsResearch payer policies from in and out of network payers to provide feedback to colleagues not limited to leadershipEffectively and continually communicates with staff management and customers to facilitate the flow of information Demonstrates HW Leadership BehaviorsWorking RelationshipThis Job Reports To Job Title Director of Account ReceivableWork where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryThe Quality Revenue Cycle Billing and Auditor Specialist is responsible for ensuring accuracy compliance compliance and efficiency withing the billing office The auditor will implement and maintain an audit and education program for the billing office The program is for internal revenue cycle colleagues and external vendors associated with the insurance portion of the Hospital Billing and Professional Billing Revenue Cycle and will correlate back to the expectations for productivity and quality The Auditor will also be responsible for contributing to the development of the billing office staff Expected Outcomes To reduce denial errors improve billing practices ensure proper write off and ensure alignment with regulatory and organizational standardsPosition ResponsibilitiesKey areas of responsibilityCompletes quality and productivity audits of team members and vendors to ensure high quality work is being performed provides feedback and re training as appropriate Works closely with the management team when employee issues arise to assist in evaluating quality and productivity Compiles and prepares reports for distribution to key stakeholders Analyzes errors and workflows to find opportunities for improvement and standardization Identifies common issues and effectively communicates changes or updates via memos and other documentation to disseminate compliant requirementsCollaboratively and independently prepares material and trains staff and vendors to prepare and improve colleagues skills for working denials and navigating the billing system Epic while assessing training needs and develops curriculum and training programs and evaluates the effectiveness of the training importance of quality follow up and documentationCollaboratively and independently in the creation of new patient finance workflows department policies and protocols and engages the colleagues to ensure successful implementation of the information Acts as a role model for team members by incorporating the HW business model of Hartford Healthcare to improve workflows eliminate waste and provide a patient centric experience into daily work Provides support for other ad hoc analyses and projects as needed Provides input on decisions that affect workflows affecting timely resolution of insurance accountsMaintains current knowledge of established payer policies system policies and procedures which may include but not limited to patient confidentialitypatient rights collections government and third party payer regulations Keep up to date with changes in healthcare laws insurance policies and billing codes CPT ICD HCPCS and assist in preparing for internal or external audits related to billing and claimsResearch payer policies from in and out of network payers to provide feedback to colleagues not limited to leadershipEffectively and continually communicates with staff management and customers to facilitate the flow of information Demonstrates HW Leadership BehaviorsWorking RelationshipThis Job Reports To Job Title Director of Account ReceivableRequirements and SpecificationsEducationmiddot Minimum Associatersquos degree in health care administration business management or finance or equivalent healthcare revenue cycle experiencemiddot Preferred Bachelorrsquos degree in health care administration business management or finance or equivalent healthcare revenue cycle experienceExperiencemiddot Minimum to years medical billing or accounts receivables in a medical facility or professional healthcare revenue cycle setting andor banking experiencemiddot Preferred years of medical billing andor accounts receivables experience in a large facility or professional healthcare revenue cycle settingLicensure Certification Registration middot Preferred American Academy of Professional Coders AAPC or American Health Information Management Association AHIMA certificationKnowledge Skills and Ability Requirementsmiddot Epic experience and working knowledge of Resolute Hospital and Professional billing modules required middot Understanding of medical and insurance terminology facility and professional billingreimbursement practicesmiddot Familiar with CPT revenue codes and ICD codesmiddot Excellent analytical and problem solving skillsmiddot Excellent communication skills both written and verbal and interpersonal skillsmiddot Knowledge of state and federal regulations as they pertain to billing processes and proceduresmiddot Knowledge of insurance claim processing and third party reimbursementmiddot Knowledge and understanding of negotiated agreementsmiddot Demonstrated leadership in establishing and achieving goalsmiddot Ability to communicate effectively both orally and in writing strong computer and math skills requiredmiddot Skill in problem solving in a variety of settingsmiddot Skill in time management middot Ability to work efficiently under pressuremiddot Ability to operate a computer and related applications such as Word Excel PowerPoint etcmiddot Ability to work independently and take initiativemiddot Ability to demonstrate a commitment to continuous learning and to operationalize that learningmiddot Ability to deal effectively with constant changes and be a change agentmiddot Ability to deal effectively with difficult people andor difficult situationsmiddot Ability to willingly accept responsibility andor delegate responsibilitymiddot Ability to set priorities and use good judgment for self and peersmiddot Ability to exercise independent judgment in unusual or stressful situationsmiddot Ability to establish and maintain effective working relationshipsmiddot Ability to support new ideas and exercises flexibility if changes are initiated middot Ability to understand workflows and train to a large group middot Ability to engage in Process Improvement initiativesWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour momentRequirements and SpecificationsEducationmiddot Minimum Associatersquos degree in health care administration business management or finance or equivalent healthcare revenue cycle experiencemiddot Preferred Bachelorrsquos degree in health care administration business management or finance or equivalent healthcare revenue cycle experienceExperiencemiddot Minimum to years medical billing or accounts receivables in a medical facility or professional healthcare revenue cycle setting andor banking experiencemiddot Preferred years of medical billing andor accounts receivables experience in a large facility or professional healthcare revenue cycle settingLicensure Certification Registration middot Preferred American Academy of Professional Coders AAPC or American Health Information Management Association AHIMA certificationKnowledge Skills and Ability Requirementsmiddot Epic experience and working knowledge of Resolute Hospital and Professional billing modules required middot Understanding of medical and insurance terminology facility and professional billingreimbursement practicesmiddot Familiar with CPT revenue codes and ICD codesmiddot Excellent analytical and problem solving skillsmiddot Excellent communication skills both written and verbal and interpersonal skillsmiddot Knowledge of state and federal regulations as they pertain to billing processes and proceduresmiddot Knowledge of insurance claim processing and third party reimbursementmiddot Knowledge and understanding of negotiated agreementsmiddot Demonstrated leadership in establishing and achieving goalsmiddot Ability to communicate effectively both orally and in writing strong computer and math skills requiredmiddot Skill in problem solving in a variety of settingsmiddot Skill in time management middot Ability to work efficiently under pressuremiddot Ability to operate a computer and related applications such as Word Excel PowerPoint etcmiddot Ability to work independently and take initiativemiddot Ability to demonstrate a commitment to continuous learning and to operationalize that learningmiddot Ability to deal effectively with constant changes and be a change agentmiddot Ability to deal effectively with difficult people andor difficult situationsmiddot Ability to willingly accept responsibility andor delegate responsibilitymiddot Ability to set priorities and use good judgment for self and peersmiddot Ability to exercise independent judgment in unusual or stressful situationsmiddot Ability to establish and maintain effective working relationshipsmiddot Ability to support new ideas and exercises flexibility if changes are initiated middot Ability to understand workflows and train to a large group middot Ability to engage in Process Improvement initiativesWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment