Role OverviewThis role is a key driver of financial health, responsible for minimizing revenue leakage and ensuring 24/7 regulatory compliance. You will utilize advanced analytics to oversee the resolution of billing bottlenecks and ensure that the PBO platform remains a high-performing, compliant engine for all facility and professional charges.
What You Will Do
Utilize advanced analytics to oversee the resolution of billing bottlenecks (DNFB, CEWL, EBEW) and ensure that the PBO platform remains a high-performing, compliant engine for all facility and professional charges.
Why It Might Be a Fit
Maintain a 48-hour release target by eliminating PBO charge router edits and CDM-related pre-bill holds, achieve >99% accuracy in annual audits of the PBO-to-Clinical system mapping, and maintain a 100% compliance rate with government and commercial audit deadlines.
Requirements
- Bachelor’s degree in healthcare
- AAPC Coding Certification (Professional & Technical)
- 5 years in CDM maintenance and Medicare billing
- Expert proficiency in CDM tools (e.g., Panacea)
- Proven mastery of the PBO (Patient Business Office) platform workflows
Benefits
- Generous Paid Time Off (PTO)
- Medical, Prescription Drug, Dental & Vision Insurance
- Retirement Plans with employer contributions
- Short-Term & Long-Term Disability Coverage
- Life & Accidental Death & Dismemberment Insurance
- Tuition Reimbursement
- Flexible Spending Accounts (FSAs) for healthcare and dependent care
- Wellness Programs
- Voluntary Benefits, including Pet Insurance
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