[Hiring] Revenue Cycle Business Partner I @BMC Software

Role Description

Under supervision of a Senior Manager of Vendor Management, the Revenue Cycle Business Partner I plays a crucial role in supporting revenue operations within the organization. This position involves a combination of administrative and analytical tasks to ensure accurate billing, timely reimbursement, and compliance with regulatory requirements for Hospital and Professional claims.

• Claim correction, submission, and billing activities.
• Interacting with insurance payers and third-party vendors to resolve claim adjudication issues.
• Responsible for working billing tasks of moderate complexity.
• Serve as a knowledge resource to other staff within the Revenue Cycle Department.
• Adherence to quality assurance guidelines and established productivity standards.

Qualifications

• Bachelor’s degree in Business/Healthcare related field preferred or equivalent combination of formal education and work experience.

Requirements

• Work requires knowledge of healthcare billing and collection processes including federal and state collection laws, legal collection practices, and collection techniques at a level generally acquired through 2 to 3 years on-the-job training or experience in billing Medicare, Medicaid, Blue Cross, HMO, Commercial insurance in a healthcare environment.
• Knowledge of and experience with Epic Resolute is preferred.
• General knowledge of medical billing and collections processes preferred.
• General knowledge of healthcare terminology preferred.
• Knowledge of contracted payers preferred.
• Demonstrates proficiency in Microsoft Suite applications, specifically Excel and Word applications, as well as Outlook.
• Demonstrates technical proficiency within Resolute Hospital and Professional billing.
• Ability to navigate payer website/portals to perform remittance research and gather additional information needs.
• Proficiency with medical billing and remittance forms and processes, including 835 and 837 files, and UB04 and CMS-1500 (HCFA) forms.
• Position may require proficiency with BMC’s legacy systems.

Benefits

• Generous total compensation including benefits (medical, dental, vision, pharmacy).
• Discretionary annual bonuses and merit increases.
• Flexible Spending Accounts.
• 403(b) savings matches.
• Paid time off.
• Career advancement opportunities.
• Resources to support employee and family well-being.

Company Description

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness.

NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.