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Work where*every moment*matters. Every day, more than 40,000 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 Connecticut’s most comprehensive healthcare network. The 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 organization. With 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 system.*__* *_Position Summary:_* The 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 standards. *_Position Responsibilities:_* *Key areas of responsibility* Completes quality and productivity auditsof 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 requirements. Collaboratively and independently prepares material and trains staff and vendors to prepare and improve colleague's 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 documentation. Collaboratively 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 H3W 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 accounts Maintains current knowledge of established payer policies, system policies and procedures which may include, but not limited to patient confidentiality/patient rights, collections, government, and third-party payer regulations. Keep up to date with changes in healthcare laws, insurance policies, and billing codes (CPT, ICD10 & HCPCS) and assist in preparing for internal or external audits related to billing and claims. Research payer policies from in and out of network payers to provide feedback to colleagues; not limited to leadership Effectively and continually communicates with staff, management and customers to facilitate the flow of information. Demonstrates H3W Leadership Behaviors. *_Working Relationship:_* *This Job Reports To (Job Title):*Director of Account Receivable *_Requirements and Specifications:_* *Education* · Minimum: Associate’s degree in health care administration, business management or finance or equivalent healthcare revenue cycle experience. · Preferred: Bachelor’s degree in health care administration, business management or finance or equivalent healthcare revenue cycle experience. *Experience* · Minimum: 3 to 4 years medical billing or accounts receivables in a medical facility or professional healthcare revenue cycle setting and/or banking experience · Preferred: 5 years of medical billing and/or accounts receivables experience in a large facility or professional healthcare revenue cycle setting. *Licensure, Certification, Registration* · Preferred:**American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) certification *Knowledge, Skills and Ability Requirements:* · Epic experience and working knowledge of Resolute Hospital and Professional billing modules, required · Understanding of medical and insurance terminology, facility and professional billing/reimbursement practices. · Familiar with CPT, revenue codes and ICD10 codes · Excellent analytical and problem solving skills · Excellent communication skills both written and verbal and interpersonal skills · Knowledge of state and federal regulations as they pertain to billing processes and procedures · Knowledge of insurance claim processing and third party reimbursement · Knowledge and understanding of negotiated agreements · Demonstrated leadership in establishing and achieving goals · Ability to communicate effectively both orally and in writing, strong computer and math skills required · Skill in problem solving in a variety of settings · Skill in time management · Ability to work efficiently under pressure · Ability to operate a computer and related applications such as Word, Excel, PowerPoint, etc. · Ability to work independently and take initiative · Ability to demonstrate a commitment to continuous learning and to operationalize that learning · Ability to deal effectively with constant changes and be a change agent · Ability to deal effectively with difficult people and/or difficult situations · Ability to willingly accept responsibility and/or delegate responsibility · Ability to set priorities and use good judgment for self and peers · Ability to exercise independent judgment in unusual or stressful situations · Ability to establish and maintain effective working relationships · Ability to support new ideas and exercises flexibility if changes are initiated. · Ability to understand workflows and train to a large group · Ability to engage in Process Improvement initiatives *_We take great care of careers._* With 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 – 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 work/life balance. Every moment matters. And this is *your moment.* **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Quality Rev Cyc Billing Spec / PA Third Party Follow Up* **Location:** *Connecticut-Farmington-9 Farm Springs Rd Farmington (10566)* **Requisition ID:** *25159288*