Billing Implementation Specialist @ Eclinicalworks

 

This Billing Implementation Specialist (BIS) is a billing implementation position where the individual is responsible for assisting and training the client with implementing the PM portion of the integrated EMR-PM solution while meeting all deadlines set forth by the Project Manager. This role is the primary billing contact between the client during the pre-go live and post go live implementation phase. The BIS is responsible to collaborate with the assigned Project Manager, Business Analyst and EMR Trainer to ensure that the billing setup and workflow implemented are in alignment with the clinical side of the software.

Through Billing Discovery and Billing Setup calls with the client, the BIS is responsible for obtaining the clientu0027s billing requirements related to the clientu0027s specialty (Private practice, Health Center, Rural Health Center, Ambulatory Surgical Centers or any other practice that needs UB or Sliding Fee Schedule Set Up). Ensure cash flow is not negatively impacted by the transition to eClinicalWorks and make best practice recommendations based on identified areas of opportunity through the cash flow monitoring phase.

During the post go live phase the BIS is responsible for conducting onsite or remote billing training to ensure client adoption. The BIS is expected to maintain good working relations with internal/external client at all times. The goal would be for the BIS to build a good rapport with the client to ensure that they are a referenceable client by the end of the implementation process.

Job Functions/Responsibilities
Evaluating the clients billing needs (HCFA/UB/Dental/Vision/ Sliding Fee Schedules and any other specialty requirements).
Responsible to set up the clients system and train them on using eClinicalWorks software based on their workflow using best billing practices.
Work with eClinicalWorks team members to conduct and/or ensure delivery of successful billing training sessions.
Identify all the eClinicalWorks billing modules that need to be implemented, based on organizational structure and/or requirements to ensure a successful adoption of eClinicalWorks product.
Evaluate financial health assessment reports and make recommendation to mitigate potential cash flow risk to the client by providing best billing practice plan of action.
Knowledge of clearing house enrollment concept and purpose along with giving guidance to client to facilitate the enrollment process for claims and Electronic Remittance Advice.
Provide billing pre- go-live and post-go-live training support.
Proactively analyzes the clients financial health monthly/weekly as applicable to identify opportunities for reimbursement and make setup or workflow recommendations based on findings. Trend patterns of denials and to develop an intimate understanding of the factors that are contributing to the clients financial performance.
Creating and presenting external/internal client facing presentations.
Making workflow recommendations to clients to improve their back-office operation while having a sound understanding of end of month process and life cycle of a claim.
Maintain positive Key Performance Indicators as set forth by the Department Leads.
Conduct training sessions utilizing teams/go to meeting / LogMeIn and maintain a professional attire during virtual training session internal and external.
Clear and concise written and verbal communication with client along with completion of meeting minutes after each call.
Work independently and part of a team in a remote working environment while actively participating in all weekly team meetings.
Attention to detail and timely follow through while meeting all assigned deadlines.
Maintain a secure space within the home working environment free of distractions while following strict HIPAA/PHI guidelines.
Through strong customer service.
Perform other duties as assigned.

Experience/Education Requirements
Bachelors Degree required; Masters Degree preferred
Adheres to all company policies and mandatory compliance protocols as required by eCW
Bacheloru0027s Degree and/or Minimum of 3-5 years medical billing experience
3 years working Knowledge of ICD,CPT, HCPCS coding
3 years of experience with Medicare, Medicaid, Commercial payers claims processing
3 years working knowledge of EOB/ERAs and AR Financial Reports reading & posting, refunds are a must
3 years working knowledge of dental, UB, HCFA and Workmanu0027s Compensation claim submission payer requirements
3 years working knowledge of Clearinghouse functionality
3+ years of medical billing experience and knowledge of RHC/ASC/FQHC/Vision billing requirements preferred
3+ years of Client facing experience with strong professional presentation and communication skills
20% Travel for client onsite visits
Experience of implementation of EHR software and / or Training is a plus

Other Skills/Abilities
Take initiative and accountability
Strong time management skillset
Attention to detail
Adherence to Policy and procedures
Ability to adapt in a fast-paced environment and sustain optimal outcomes
Strong verbal and written communication skills
Adherence to deadlines
Team Collaboration