Job Description

WHAT YOU WILL DO:

Financial Solutions Specialist is responsible for financial systems performance and ongoing operations through training and support of end users on financial aspects relating to processing patient eligibility, payers/insurances, and claims. Provides financial, technical support and maintenance of the electronic health record and ancillary health information systems. Collaborates with the Director of Health Information Technology, Manager of Billing Operations and with financial systems vendors to implement, upgrade and maintain financial information processing activities.

• Serves as the knowledge expert for all financial system components within the core electronic heath record and ancillary systems.
• Works autonomously to provide direct support and training to the Senior Options billing teem and partner sites for processing patient eligibility, payers/insurances, and claims.
• Maintains end updates the annual Medicare billing rates and payer configurations according to the home health PPS and hospice payment system requirements in electronic health record for accurate claims and invoice processing. Maintains, updates and configures all commercial and private payers according to provider contractual parameters for accurate claims processing.
• Works with vendors to request and configure the initial clearinghouse connection for new payers and has direct oversight of insurance clearinghouse systems.
• Develops and provides comprehensive training tools for all financial solutions, including orientation and refresher education materiel on a recurring basis and provides end user support for all financial and technical information system components to troubleshoot and resolve issues. Utilizes help desk ticketing system to track and troubleshoot requests, issues or questions related to system access and financial processes according to the current service level expectations.
• Maintains end user access and assigns security access privileges for all financial solutions
• Responsible for assessing new financial systems technology end working with vendors to implement as needed.
• Collaborates with the Director of Health Information Technology to assess changes to financial system functionality. Works to update configurations as required, communicate, and train the Senior Options Billing Team and applicable partner users on the new functionality. Follows change management processes and accurately validates all system changes by testing
• Identifies financial system improvements and trends based on reported end user issues. Assesses additional educational initiatives for the national network. Develops and implements initiatives by evaluating current procedures and change processes needed for optimized procedures.
• Corrects process gaps in financial workflows by making recommendations to Senior Options leadership on strategic goals and
• initiatives.
• Serves as a backup to the Director of Health Information Technology and Clinical Solutions Specialist to support and train. May support and train partners on other technology solutions as needed.
• Understands and remains up-to-date on all current home health, hospice and home care regulations to assess the impact on financial claims processing.
• All other duties as assigned.

WHAT YOU WILL NEED TO BE SUCCESSFUL:

• 2 years' experience and proficiency in working with the application of an electronic heath record software. Experience in electronic health record end user training with ability to teach adults and prepare curriculum; preferably with home health and/or hospice.
• Bachelor's degree in health information technology, healthcare administration or healthcare related field, preferred.
• Medical billing certification, preferred.
• Working knowledge of Medicare Prospective Payment System (PPS) and commercial insurance payers for post-acute care.
• Strong demonstration of customer service skills. Must possess excellent verbal and written communication skills.
• Demonstrated strong computer skills, including Microsoft and Google applications.
• May work evenings to accommodate partner time zones and serve in an on call rotation.
• Demonstrated ability to meet deadlines; work under limited supervision; and to handle various projects simultaneously.
• Adheres to the Westminster-Canterbury Code of Ethical Behavior.

PHYSICAL REQUIREMENTS:

This function is generally performed in an Office environment. Performs some repetitive PC functions.

Company Description

Senior Options is a wholly-owned non-profit subsidiary of Westminster-Canterbury on the Chesapeake Bay. Our ongoing mission is to expand and strengthen services and care for older adults by building the organizational capacities of those LeadingAge members who serve them. Our goal is to continuously optimize our clients’ overall operations to ensure their delivery of the highest possible quality of customer care, while realizing financial sustainability for the long term. Senior Options is the best option for success.

Benefits

DAY ONE BENEFITS FOR ALL FULL-TIME HIRES!

• Dental Insurance
• Vision Insurance
• Same Day Pay-Get early pay access through UKG and get paid without waiting for your paycheck!
• Direct Deposit
• Employee Assistance Program
• Excellent Advancement Opportunities
• Identity Theft Plan
• Legal Resources
• Life Insurance
• Long-term Disability Insurance
• Medical Insurance
• Paid Time Off (PTO)
• Retirement Plan with Employer Match
• Scholarship Program for Employees/Family Members
• Short-term Disability Insurance
• Six (6) Paid Holidays
• Team Member Discounts
• Tuition Assistance
• Student Loan Repayment Assistance
• On-Site Gym, Salon, Clinic & Pharmacy
• No Agency use for any clinical positions