Client Billing Partner I - II

CLIENT BILLING PARTNER I - II

Fully Remote • Remote

Job Type

Full-time

Description

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.

Requirements

• 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.
• Strong communication skills both verbal and written.
• 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.

• Desired Certifications include:
• Medical coding from AAPC (CPC Certificate)
• AHIMA (CCS Certificate)
• Current certification from ADCA (CDC certificate)
• HFMA (CRCR certificate)

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

Base Pay Overview

OCHIN uses broadened pay ranges to support equitable and market-aligned compensation practices. For this role, the typical offer range falls between the minimum and midpoint of the pay range. Pay information by position level is listed below. The final offer will be based on a variety of factors, including relevant skills, certifications, education, experience, training, responsibilities, internal equity, and market data. 

• Level I: Typically pays between the minimum ($23.56) and 30th ($30.62) percentile of the band 
• Level II: Typically pays between the 15th ($27.09) and 35th ($31.80) percentile of the band 
• Level III: Typically pays between the 30th and 55th percentile of the band

Salary Description

Level II to II $23.56-$31.80