CUHCC’s mission is transforming care and education to advance health equity. The clinic is known for providing high quality care to diverse patients and is moving forward in improving timely access to care for patients. This position will focus on several areas of the healthcare billing and finance department including reoccurring and ad hoc reporting, all batching, dental coding and billing functions for medical, dental and mental health and claim rejections and errors. A complete understanding of proper and timely billing. This position will also work as a resource for patients, providers, interpreters and clinic staff within the billing department. This position will cross-train with the Cash Applications, Credits, Documentation and Collections leadership. This position will supervise a team of 3 staff members.
ESSENTIAL FUNCTIONS: Position overview and functions may change as position develops
1) Supervisory: (30%) a) Supervise 3-4 staff members b) Responsibilities include: i) Hiring including job description write-up and posting, resume review, interviewing candidates and extending offers to candidates ii) Training includes new hire training of systems, policies and procedures and job function/responsibilities. Training will also include any new or updated department processes as well as re-training in specific areas of need. iii) Coaching includes working one-on-one with staff members in regards to understanding and performing job functions, expectations and responsibilities including accountability iv) Productivity tracking of employees v) Performance Evaluations to be performed annually as well as during probation period of new hires vi) Disciplinary Actions include verbal and written warnings, consistent follow-up and follow-through with employee and/or up to termination
2) Billing: (50%) a) Electronic Data Interchange (EDI) experience is required to effectively communicate with system vendor, clearinghouse agents and various insurance companies to ensure compliance and billing guidelines are being followed b) Understanding of Government program guidelines on claim submission and reimbursement. c) Working knowledge of medical, dental and mental health claim benefits, submission and reimbursement rules and guidelines d) Responsible for managing all billing for medical, dental and mental health. This includes batching and integrity review of all medical and mental health claims and batching, coding and integrity review of all dental claims prior to billing the insurance company, workman’s compensation, guarantor or other e) Hennepin County verification, billing and reconciliation f) Fairview Lab billing and reconciliation g) Work with clinic intake supervisor on obtaining authorizations, insurance setup, insurance verification, missing or required documentation, etc. h) Responsible for background billing processes including but not limited to G codes for Medicare, inhibiting lines from claims as appropriate, MnVFC, sliding fee scale, dental supply cost, fee schedule updates, Provider setup, billing tables i) Responsible for compliance and accuracy with billing rules and guidelines j) Identify and analyze system and billing processes for issue resolution or process improvement k) Dental supply cost estimate management l) Monthly eligibility verification review m) Responsible for closing monthly accounting periods n) Responsible for management of resolving rejected claims, errored claims and return to sender claims from insurance companies o) Hold and/or attend meetings with staff and leadership regularly p) Responsible for management of review and scanning of documentation to guarantor account received from the clinic, by scan, mail, fax q) Administrator of insurance websites for CUHCC staff r) Team members will be in the billing phone queue as well as the rotation at the clinic billing office s) Cross-train with the Cash Application/Credit/Documentation and Collections team leadership
3) Projects/Ad Hoc Reporting: (15%) a) Required Intermediate to Advanced experience with Microsoft Access creating tables and queries to create and maintain reporting needs for Billing and Finance b) Ad hoc reporting utilizing system reports, Access and Excel c) Ad hoc reporting is needed to review various information within the system as needed for grant and fund research and reporting requirements
4) Other duties as assigned: (5%)
**A negative TB test is required for this position.
The University of Minnesota offers a comprehensive benefits package including:
Competitive wages, paid holidays, vacation and sick leave
Low cost medical, dental, and pharmacy plans
Health care and dependent daycare flexible spending accounts
Excellent retirement plans with employer match
Disability and employer paid life insurance
Wellbeing program with reduced insurance premiums
Tuition reimbursement opportunities covering 75%-100% of eligible tuition
All required qualifications must be documented on application materials.
Required Qualifications: 1. BA/BS plus at least 4 years of professional accounting work experience with a health plan, managed care organization or other healthcare entity, or a combination of related education and work experience to equal 8 years. 2. 2 years of experience in supervising a department/unit 3. Intermediate to Advanced skill level/experiene in Microsoft Access and Excel 4. Demonstrated strong analytical skills 5. Demonstrated strong attention to detail 6. Demonstrated ability to multi-task, organize tasks and prioritize including follow through on issues and projects timely and until resolved 7. Demonstrated high-level oral and written communication skills to work with patients, staff, providers and insurance companies 8. Demonstrated excellent customer service skills 9. Demonstrated ability to work with patients and staff from diverse cultures, languages and backgrounds 10. Demonstrated capacity to work on a team and make positive contributions to the team 11. Demonstrated ability to identify issues, report and work with manager to resolve 12. Knowledge of insurance verification, COB, billing practices and insurance collections 13. Maintain a knowledge of HIPAA 837P, 835P NCPDP file format and related Minnesota Uniform Companion Guidelines.
Preferred Qualifications: 1. Post-secondary education credits in business or healthcare 2. Fluency in one of CUHCC’s predominant patient languages (Spanish, Somali, Vietnamese, Lao, Hmong) 3. Knowledge of Federally Qualified Health Care Center (FQHC) 4. Experience with System Conversion 5. Experience with Project Management
Internal Number: 329655
About University of Minnesota, Twin Cities
The University of Minnesota, founded in the belief that all people are enriched by understanding, is dedicated to the advancement of learning and the search for truth; to the sharing of this knowledge through education for a diverse community; and to the application of this knowledge to benefit the people of the state, the nation, and the world.