About This Role
This role focuses on the financial operations of healthcare, specifically within patient accounting using Cerner systems. It involves managing data, coordinating resources, aligning processes, and supporting training for new system implementations. The position suits a candidate with strong Cerner experience and an understanding of healthcare financial workflows.
Responsibilities
- Oversee clean-up and validation of critical health plan, provider, and charge description master data
- Coordinate removal of unused claim logic and rules
- Ensure all integrated test scripts are current and reflect RevElate requirements
- Manage reference build reviews and data file submissions, including AR summaries, chart of accounts, and scrubber edits
- Assign and align key project resources for inbound transaction monitoring, charge error resolution, and billing exception resolution
- Facilitate staffing realignment between legacy and RevElate AR assignments, including upfront claim editing and terminology training
- Lead review and update of billing edit resolution, claim follow-up, and guarantor follow-up policies and procedures
- Ensure alignment of work queue logic and assignment to RevElate worklists
- Support AR reduction efforts through queue evaluation, assignment, and prioritization
- Oversee review and update of training materials to reflect RevElate changes
- Coordinate training sessions for staff on new workflows, terminology, and system features
- Track completion of all required, highly encouraged, and recommended readiness tasks using the checklist provided
- Monitor key performance indicators (KPIs) such as cash on hand, AR days, DNFB days, clean claim rate, and claims transmission stability
- Complete and submit pre-implementation questionnaires and attestations as required
- Perform complex troubleshooting investigations and document notes and knowledge articles
- Gather requirements and determine scope of work and plan for delivery on time
- Develop and maintain good relationships with peers and clients, provide timely feedback to encourage success
- Work, coordinate with global teams
Requirements
- Prior Oracle Health/Cerner Build and Configuration experience
- Experience with Patient Accounting workflows and back-office healthcare financial operations
- Good understanding of PM rules, PA rules, 835 files, 275 files, 277 files
- Experience with Cerner Application support, Incident resolution, Implementation of Cerner Millennium Projects
- Experience in configuring and troubleshooting CERNER solution functionalities/Components
- Ability to work self-sufficiently on assigned time sensitive tasks