高级专员，医疗收入周期
Senior Specialist, Healthcare Revenue Cycle
简介
在Wipfli，人才至关重要。
在Wipli，我们的员工是所有事情的核心——我们创造卓越影响和非凡成果的催化剂。
我们相信灵活性。我们注重人际关系。我们鼓励每个人走自己的道路。
人才真的很重要，他们能感受到这一点。对于那些希望有所作为并找到职业归属的人，Wipfli提供一个改变职业生涯的机会。
职位概述：
在高级顾问或经理的指导下，高级专家为公司更复杂的客户提供独立的业务服务，确保按时、准确地交付，并根据公司政策和流程满足客户的需求。
职责
职责：
- 管理医疗保健客户的计费、收款和应收账款活动，确保及时提交索赔、跟进和解决付款问题。
- 分析账龄报告、拒付和报销趋势，识别根本原因并实施流程改进。
- 作为客户的首要联系人，提供持续的沟通、状态更新和收入周期支持。
- 准备、审核和对账复杂的计费交易、报告和客户交付物，同时确保准确性和合规性。
- 支持外包的收入周期项目，包括计费、收款、保险公司跟进和操作流程。
- 与国内和海外团队成员合作，提供高质量的客户服务并达成项目目标。
- 使用电子健康记录系统、保险公司门户、清算机构和微软工具来管理收入周期运营和报告。
- 为客户提供和团队成员提供计费、报销和收入周期最佳实践的技术指导。
- 在管理多个客户项目的同时，确保遵循公司政策、质量标准、截止日期和预算期望。
知识、技能和能力
资格要求：
- 需要高中文凭或同等学历。
- 5年以上医疗收入周期、计费、收款或应收账款经验。
- 有在医院、医生集团、农村健康诊所、FQHC、心理健康组织或类似医疗机构工作的经验。
- 熟悉医疗保险、医疗补助、管理护理和医疗报销流程。
- 有使用电子健康记录系统、计费软件、清算机构和保险公司门户的经验。
- 具备强大的分析、解决问题和沟通能力。
查看英文原文
Overview
At Wipfli, people count.
At Wipfli, our people are core to everything we do—the catalyst behind our ability to create exceptional impact and extraordinary results.
We believe in flexibility. We focus on relationships. We encourage each individual to follow their own path.
People truly matter and they feel it. For those looking to make a difference and find a professional home, Wipfli offers a career-defining opportunity.
Job Summary:
Under the direction of a Senior Consultant or Manager, the Senior Specialist provides business services independently for the firm's more complex clients, ensuring delivery is timely, accurate and serves the client's needs in accordance with company policies and procedures.
Responsibilities
Responsibilities:
- Manage billing, collections, and accounts receivable activities for healthcare clients, ensuring timely claim submission, follow-up, and payment resolution.
- Analyze aging reports, denials, and reimbursement trends to identify root causes and implement process improvements.
- Serve as a primary point of contact for clients, providing ongoing communication, status updates, and revenue cycle support.
- Prepare, review, and reconcile complex billing transactions, reports, and client deliverables while ensuring accuracy and compliance.
- Support outsourced revenue cycle engagements, including billing, collections, payer follow-up, and operational workflows.
- Collaborate with domestic and offshore team members to deliver high-quality client service and meet engagement objectives.
- Utilize EHR systems, payer portals, clearinghouses, and Microsoft tools to manage revenue cycle operations and reporting.
- Provide technical guidance to clients and team members on billing, reimbursement, and revenue cycle best practices.
- Ensure adherence to firm policies, quality standards, deadlines, and budget expectations while managing multiple client engagements.
Knowledge, Skills and Abilities
Qualifications:
- High school diploma or equivalent required.
- 5+ years of healthcare revenue cycle, billing, collections, or accounts receivable experience.
- Experience working with hospitals, physician groups, rural health clinics, FQHCs, behavioral health organizations, or similar healthcare providers.
- Knowledge of Medicare, Medicaid, managed care, and healthcare reimbursement processes.
- Experience using EHR systems, billing software, clearinghouses, and payer portals.
- Strong analytical, problem-solving, and communication skills.
- Ability to manage multiple priorities and work independently in a fast-paced environment.
Preferred Qualifications:
- Associate's or bachelor's degree in a related field.
- Experience with Epic, Cerner, Meditech, eClinicalWorks, or similar healthcare systems.
- Experience with denial management, root cause analysis, and revenue cycle process improvement.
- Previous client-facing or healthcare consulting experience.
Alaina Lister, from our recruiting team, will be guiding you through this process. Visit her LinkedIn page to connect!
Additional Details
Additional Details:
Wipfli is an equal opportunity/affirmative action employer. All candidates will receive consideration for employment without regards to race, creed, color, religion, national origin, sex, age, marital status, sexual orientation, gender identify, veteran status, disability, or any other characteristics protected by federal, state, or local laws.
Wipfli is committed to providing reasonable accommodations for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or participate in our recruiting process, please send us an email at .
Wipfli values fair, transparent, and competitive compensation, considering each candidate's unique skills and experiences. The estimated base pay range for this role is $25.00 to $34.00 an hour, with offers typically not made at the maximum, allowing for future salary increases. The actual salary at the time of offer depends on business related factors like location, skills, experience, training/education, licensure, certifications, business needs, current associate pay, and relevant employment laws.
Individuals may be eligible for an annual discretionary bonus, subject to participation rules and based on a variety of factors including, but not limited to, individual and Firm performance.
Wipfli cares about our associates and offers a variety of benefits to support their well-being. Highlights include 8 health plan options (both HMO & PPO plans), dental and vision coverage, opportunity to enroll in HSA with potential Firm contribution and an Employee Assistance Program. Other benefits include firm-sponsored basic life and short and long-term disability coverage, a 401(k) savings plan & profit share as well as Firm matching contribution, well-being incentive, education & certification assistance, flexible time off, family care leave, parental leave, family formation benefits, cell phone reimbursement, and travel rewards. Voluntary benefit offerings include critical illness & accident insurance, hospital indemnity insurance, legal, long-term care, pet insurance, ID theft protection, and supplemental life/AD&D. Eligibility for all benefits programs is dependent on annual hours expectation, position status/level and location. Wipfli offers flexibility for many positions to be performed remotely; please discuss your work preferences with your recruiter during the interview process.
"Wipfli" is the brand name under which Wipfli LLP and Wipfli Advisory LLC and its respective subsidiary entities provide professional services. Wipfli LLP and Wipfli Advisory LLC (and its respective subsidiary entities) practice in an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable law, regulations, and professional standards. Wipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. Wipfli Advisory LLC and its subsidiary entities are not licensed CPA firms.
Originally posted on Himalayas