REVENUE OPERATIONS PARTNER- BILLING

Position Overview

The Revenue Operations Partner- Billing is responsible for providing revenue cycle management and account management to OCHIN Billing Services (OBS) member clients. This role requires strong attention to detail, analytical thinking, and relationships and communication skills to deliver high-quality customer service and support members' financial health.

Essential Functions

• Revenue Cycle and Accounts Receivable Management: Deliver efficient and effective accounts receivable services on behalf of member clients to optimize reimbursement outcomes. Support OCHIN’s revenue cycle performance indicators to ensure the financial health of both clients and the organization.
• Project Oversight and Team Coordination: Take ownership of project deliverables by tracking progress, monitoring team member responsibilities, and ensuring all deadlines are met. Submit final project outcomes to the supervisor, maintaining accountability for quality and timeliness.
• Billing Trend Analysis and Escalation: Monitor and analyze billing trends to identify potential impacts on key performance indicators (KPIs). Communicate relevant findings to member clients and collaborate with Supervisors to escalate unresolved issues to Operations Managers when necessary.
• Billing Process and Payer Coordination: Collaborate with Billing Specialists to ensure accurate and timely processing of patient claims across various payer types, including Medicare, Medicaid, Managed Care, Workers’ Compensation, motor vehicle and personal injury claims, third-party payers, self-pay/uninsured, and commercial insurance. Ensure compliance with payer requirements and organizational policies.
• Other duties as assigned.

Qualifications

• 3-5 Years of experience in billing and/or coding revenue cycle experience preferred.
• Working knowledge of Medicare, Medicaid, MVA, Workers Comp and private insurance billing and reimbursement processes, legal requirements knowledge preferred.
• FQHC Experience and knowledge preferred.
• Medical Billing Certification from the American Academy of Professional Coders (AAPC), preferred.
• Experience working in EPICs Resolute system Required.
• For Acute Care hospital work, rural hospital experience is required.

Benefits

We offer a comprehensive range of benefits. See our website for details: https://ochin.org/career.

Physical Requirements/Work Environment

• Constant interpersonal skills, teamwork, and customer service. Frequent creativity, mentoring, presentations, and teaching. Occasional decision making and independent judgment or action.
• This position requires a virtual home-office environment, working remotely and will require that employees be on camera for all virtual meetings.

Work Location and Travel Requirements

• OCHIN is a 100% remote organization with no physical corporate office location. Employees work remotely from home and many of our positions also support our member organizations on-site for new software installations. Nationwide travel is determined based on OCHIN business needs. Please inquire during the interview process about travel requirements for this position.
• Work from home requirements are:
• Ability to work independently and efficiently from a home office environment
• High Speed Internet Service
• It is a requirement that employees work in a distraction free workplace
• Travel required up to 20% nationally for on-site Go Live support based on business requirements for OCHIN
• (OR) Travel may be required nationally based on business requirements for OCHIN

Equal Opportunity Statement

OCHIN is proud to be an equal opportunity employer. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills for the benefit of our staff, our mission, and the communities we serve.

Cover Letter/Resume Instructions

To apply, please submit your resume and cover letter detailing your qualifications and why you are interested in this role. Please note that all new hires are required to provide proof of full vaccination or receive approval for a medical or religious exemption before their hire date.

COVID-19 Vaccination Requirement

To keep our colleagues, members, and communities safe, OCHIN requires all employees—including remote employees, contractors, interns, and new hires—to be vaccinated with a COVID-19 vaccine, as supported by state and federal public health officials, as a condition of employment. All new hires are required to provide proof of full vaccination or receive approval for a medical or religious exemption before their hire date.