Job Summary:Under general supervision of the Director, SHMG Operations, the Pre-Bill Operations (PBO) Lead provides lead support of Pre-Bill Associate staff responsible for registration claim edits to facilitate a "clean" claim for billing submission to third-party payors. The PBO Analyst is responsible for complex pre-bill claim issues and will provide support to PBO Associates to ensure timely processing of work assignments. The PBO Lead is responsible for analyzing claim edit data trends to identify trends, develop training materials and provide education to appropriate staff to improve processes and minimize errors.Qualifications:• High school graduate with a minimum of three (3) years of previous patient registration or insurance verification experience in a healthcare setting, or• Degree in Healthcare Administration, or related field, with a minimum of two (2) years of previous patient registration or insurance verification experience in a healthcare environment preferred.• Certification with National Association of Healthcare Access Management (NAHAM) Certified Healthcare Access Associate (CHAA) and/or Healthcare Financial Management Association (HFMA) Certified Revenue Cycle Representative (CRCR), or within one year of hire• Previous coding, denials or billing experience strongly preferred.• General revenue cycle experience is preferred.• Familiarity with EPIC Patient Access work queues.• Must have up to date knowledge of third-party rules and regulations.• Proficient in Microsoft Office software.• Must be comfortable operating in a collaborative, shared leadership environment.• Strong attention to detail and ability to demonstrate solid problem-solving and analytical skills to resolve routine to moderately complex problems.• Well-developed interpersonal, written, verbal, and presentation communication skills.Salary Range: $21.55 - $35.38Pay Grade: 25Compensation may vary based upon, but not limited to: overall experience and qualifications, shift, and location.Location: Saratoga Hospital · Saratoga Hospital Medical Group Administrative OfficesSchedule: Temporary Full-Time, Day shift, 8a-4p
Job Title
Pre-Bill Operations Lead