CLIENT BILLING PARTNER (REMOTE)

MAKE A DIFFERENCE AT OCHIN

OCHIN is a nonprofit leader in health care innovation and a trusted partner to a growing national provider network, providing the clinical insights and tailored technologies needed to expand patient access, grow and connect care teams, and improve the health of rural and 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 Client Billing Partner is responsible for providing revenue cycle management and account management to OCHIN Billing Services (OBS) member clients. The Client 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.

The OBS team member is responsible for identifying and resolving issues, escalating trends, reviewing key performance indicators, and working within their team and with their OBS client to improve results.

This position will enhance the billing department’s reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments.

The person in this role will possess a customer-service orientation, with enthusiasm for finding solutions and connecting resources in support of health center goals. They will thrive in a fast-paced environment and excel at finding solutions to complicated questions. Excellent training and meeting-facilitation skills are a must with the ability to build relationships with diverse stakeholders.

Essential Duties

Revenue Cycle Management

• Provide efficient and effective account receivable services on behalf of our member clients to maximize their reimbursement and support OCHIN revenue cycle performance indicators for financial health.
• Provide timely and accurate revenue cycle management reports and analysis to OBS and client leadership.
• Encourage OBS clients to develop and implement effective revenue cycle policies and procedures and update routinely.
• Responsible for identifying, resolving and escalating trends to Supervisor where improvements can be made.
• CBP are ultimately responsible for submitting the final project to the supervisor, tracking progress, monitoring team members' tasks, and ensuring deadlines are met.
• Responsible for tracking billing trends to report upstream to the member if applicable and how it impacts to the KPI. Work with Supervisors to escalate unresolved issues to the Operations managers as applicable.
• Partner with Billing Specialists to ensure accurate processing and billing of Medicare, Medicaid, Managed Care, Worker’s Compensation, other government programs, motor vehicle, personal injury and protections, third party payer experience, self-payer/uninsured and commercial insurance processing patient claims in accordance with payer requirements and organization policy.
• In conjunction with Billing Supervisor, CBP will provide day-to-day operational guidance to Billing Specialists on WQ assignments and can provide on the job training and mentorship to billing specialist.
• Prepare reports to identify opportunities for improvements and possible solutions. Research trends and use root cause analysis to continuously improve the health of the AR.
• Review denials for trends and work with the member to address in order to decrease denials.

Account Management

• Build relationship with key partners and influence decision making that supports OCHIN key performance indicators for member financial health.
• Respond to all inquiries and requests in timely and professional manner.
• Deliver coaching and/or make suggestions to implement process improvements when opportunities arise.
• Coordinate and lead well-developed professional meetings and presentations.
• Serve as a resource for members on key content areas – connecting members with the tools and resources they need to reach their goals.

Additional Responsibilities

• Establish and maintain strong and positive working relationships with patients, payers, team members, clients and other stakeholders.
• Work independently with little supervision.
• Serve as a subject matter expert and share knowledge with other teammates. Maintain current knowledge by staying up to date with regulatory changes. Support Billing Specialists on learnings, understanding and applying regulatory guidance and daily work as needed.
• Subscribe to all national payor bulletins, staying connected with industry changes and report to client, team, and technical analysts on impacts to workflows, request applicable changes to support revenue cycle. Escalate any findings to billing supervisor, operations manager of OBS and project manager of revenue cycle in OBS.
• Other Duties as assigned.

• Minimum of (4) years of experience in similar or relevant role. Five (5) years of applicable experience desired.
• High school diploma, GED, or a combination of relevant experience and some higher education is required; Bachelor's or Associate degree in business or relevant area of study preferred
• Knowledge of Medical Terminology is required in this role.
• Working knowledge of Medicare, Medicaid, MVA, Workers Comp and private insurance billing and reimbursement processes, legal requirements knowledge
• Strong understanding of revenue cycle and financial principles.
• Experience in or with a Federally Qualified Health Center (FQHC).
• EPIC Certifications in HB Resolute, PB Resolute, and HB/PB Claims are preferred.
• Experience with EHR software, EPIC
• Experience with PB/HB Claims, Prelude, Cadence, and EpicCare modules a plus.

• Desired Certifications include:
• Medical coding from AAPC (CPC Certificate)
• AHIMA (CCS Certificate)
• Current certification from ADCA (CDC certificate)
• HFMA (CRCR certificate)
• Strong communication skills both verbal and written.

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.

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

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

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. 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 Overview

The typical offer range for this role is minimum to midpoint, with the midpoint representing the average pay in a national market scope for this position. Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will consider a wide range of factors directly relevant to this position, including, but not limited to, skills, knowledge, training, responsibility, and experience, as well as internal equity and alignment with market data.

#LI-Remote