Job Type
Full-time
Description
MAKE A DIFFERENCE AT OCHINOCHIN is a nonprofit leader in health care innovation and a trusted partner to a growing national provider network, delivering the clinical insights and tailored technologies needed to expand patient access, strengthen care teams, and improve the health of rural and medically underserved communities.We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our vision of good health and well-being for everyone.
At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture rooted in our values.Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 1,200 skilled professionals, working remotely across 49 states. We offer a generous compensation package and are committed to supporting our employees' entire well-being by fostering a healthy work-life balance and opportunity for professional advancement. We are curious, collaborative learners who strive to live our values every day. OCHIN is excited to support our continued national expansion and the increasing demand for our innovative tools and services by welcoming new talent to our growing team.
Position Overview:The Revenue Operations Partner- Billing is responsible for providing revenue cycle management and account management to OCHIN Billing Services (OBS) member clients. Revenue Operations Partner- Billing is a forward-facing role that will primarily focus on maintaining, building, and servicing accounts and relationships. The role will understand and communicate information regarding revenue cycle management and OCHIN key performance indicators. 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.
- Claims Processing 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.
Requirements
- 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.
- Prior to moving forward to the team interview, all candidates are required to complete a 50-60-minute competency assessment. The assessment gives us insights into how your strengths, preferences, and work style align with the OCHIN's nine core competencies. It's not about passing or failing-it's about understanding fit and setting you up for success.
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 RequirementsOCHIN 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
We offer a comprehensive range of benefits. See our website for details: https://ochin.org/careerCOVID-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.
Equal Opportunity StatementOCHIN 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.
As an Equal Opportunity and Affirmative Action employer, OCHIN, Inc. does not discriminate on the basis of race, ethnicity, sex, gender identity, sexual orientation, religion, marital or civil union status, age, disability status, veteran status, or any other protected characteristics. All aspects of employment are based on merit, performance, and business needs.
Base Pay OverviewOCHIN uses broadened pay bands to support equitable and market-aligned compensation practices. The final offer will be based on a variety of factors, including relevant skills, certifications, education, experience, training, responsibilities, internal equity, and market data.
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Salary Description
$27.09 -$43.34
