HEALTH REVENUE CYCLE SPECIALIST

Recruitment #2509-6011-001

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Introduction

The City of Milwaukee is proud to employ a diverse workforce dedicated to delivering exceptional service to its residents. If you have a passion for being a part of an inclusive team of public servants, please consider the following opportunity.

Purpose

The Health Revenue Cycle Specialist leads revenue cycle and business billing activity for Milwaukee Health Department (MHD) patients and other stakeholders.

Essential Functions

Clinical Billing and Revenue Services

  • Lead revenue cycle management for MHD patient billing, including fee schedule development and maintenance, claim review and submission and all other phases of the revenue cycle for patient encounters.
  • Create, maintain and update the MHD master fee schedule for clinical and laboratory fee schedules.
  • Provide estimates, analysis and regular reporting on MHD clinical billing, payment/remits and revenue to understand the value and performance of billing activities.
  • Utilize Epic software and any required state systems to manage the revenue cycle, manage receivables and reconcile deposits in the City’s financial enterprise resource planning (ERP) system.
  • Work with MHD programs to find and grow opportunities to equitably and fairly increase revenue, both for patient-facing and business-to-business services.

Non-Clinical Billing

  • Manage MHD’s processes for non-clinical invoicing, payment and receivables for business-to-business billing, and billing for reimbursable patient care from non-insurance payors.
  • Create, update and regularly validate MHD payment practices, policies and controls, including point of sale terminals and cash handling.
We welcome qualified individuals with disabilities who are interested in employment and will make reasonable accommodations during the hiring process in accordance with the Americans with Disabilities Act (ADA) of 1990, as amended by the Americans with Disabilities Act Amendments Act (ADAAA) of 2008.

Conditions of Employment

The Health Revenue Cycle Specialist must be willing and able to:

  • May be required to respond to an emergency or broad impact event.
  • The following test would be required for this position:
    • TB Test
    • Hep B Vaccine
    • MMR Vaccine
    • Varicella Vaccine
    • Covid-19 Vaccine Confirmation

Minimum Requirements

  1. Bachelor’s degree in business administration, health administration, finance, accounting, or health information management, or a related field from an accredited college or university.
  2. Two years of experience in health care revenue cycle management, financial planning or analysis, budgeting, bank or financial operations or business operations.

Equivalent combinations of education and experience may also be considered; however, additional education may not be substituted for required experience. 

NOTICE: Please do not attach your academic transcripts to your employment application. The hiring department will verify candidates’ education as part of the background screening process before extending any job offers.

Desirable Qualifications

  • Health care administration or finance experience.
  • Experience with electronic health records software systems, such as Epic.
  • Advanced Microsoft Excel skills including PivotTable, databasing, Visual Basic for Applications (VBA), and other skills.

Knowledge, Skills, Abilities & Other Characteristics

Technical

  • Ability to learn and apply concepts of the health care revenue cycle, data standards, and patient privacy requirements.
  • Ability to learn, apply, and comply with health insurance business practices and Medicare/Medicaid regulations.
  • Knowledge of financial controls and accounting processes.
  • Ability to learn and become proficient in enterprise-level data and software systems, such as FMIS, OCHIN Epic, Workday, and other payment systems.
  • Ability to analyze data in sets or as part of reviewing transactions.
  • Knowledge and ability to work with computer applications, including the internet, spreadsheet, database, and word processing software.
  • Knowledge of mathematics and the ability to make accurate calculations.
  • Ability to learn and strategically apply new concepts to existing operational processes.

Communication and Interpersonal

  • Verbal communication skills to positively represent the department in multiple formats, including one-on-one and presentations.
  • Written communication skills; ability to produce clear and concise reports, data analysis, letters, memos, and other documents.
  • Ability to actively listen to others.
  • Ability to work both independently and collaboratively on shared goals and deadlines.
  • Ability to work effectively with people from all cultural, educational and socioeconomic backgrounds to accomplish program goals.

Judgment and Professionalism

  • Ability to plan, prioritize, organize, and effectively carry out a variety of assignments under strict time constraints.
  • Ability to think critically and analytically to problem-solve, make decisions, and use sound judgment.
  • Ability to perform work with a high degree of accuracy.
  • Commitment to professional development and staying abreast of changes in health care payer regulations and best practices.
  • Honesty, integrity, and the ability to discreetly handle confidential information.
  • Ability to be a responsible steward of City of Milwaukee resources.

Current Salary

The current salary range (Pay Range 2IX) is $62,041-$86,854 annually, and the resident incentive salary range is $63,902-$89,460 annually. Appointment above the minimum is possible based upon level of experience and other qualifications and is subject to approval.

BENEFITS

The City of Milwaukee provides a comprehensive benefit program that includes the following:

  • Wisconsin Retirement Systems (WRS) Defined Benefit Pension Plan
  • 457 Deferred Compensation Plan
  • Health and Dental Insurance
  • Paid Parental Leave
  • Comprehensive Wellness Program
  • Onsite Clinic Services
  • Onsite Employee Assistance Program
  • Alternative Work Schedules
  • Long Term Disability Insurance
  • Group Life Insurance
  • Tuition Benefits
  • Paid Vacation
  • 12 Paid Holidays
  • Paid Sick Leave and other paid leaves
  • Flexible Spending Arrangement
  • Commuter Value Pass

For full details of the benefits offered by the City of Milwaukee, please visit https://city.milwaukee.gov/der/benefits.

Selection Process

THE SELECTION PROCESS will be job-related and will consist of one or more of the following: an evaluation of education, experience, and/or responses to supplemental questions, a written or performance test, a structured interview, or other assessment methods. The Department of Employee Relations reserves the right to call only the most qualified candidates to structured interviews and performance examinations. Structured interviews may include written exercises. Selection process component weights will be determined by further analysis of the job.

INITIAL FILING DATE - The selection process will be held as soon as practical after the deadline listed above. Receipt of applications may be discontinued at any time after this date without prior notice. However, recruitment may continue until the City's needs have been met. Qualified applicants will be notified of the date, time, and place of the selection process components. Unless otherwise required by law, the City of Milwaukee will not provide alternative selection process dates or times. The applicant is responsible for attending all phases of the job selection process at the time and place designated by the City of Milwaukee.

Additional Information

  • Applications and further information can be accessed by visiting www.jobapscloud.com/MIL.
  • If you would like assistance completing an application, please contact the Department of Employee Relations at (414) 286-3751 or staffinginfo@milwaukee.gov.
  • The Department of Employee Relations is in City Hall, 200 E. Wells St, Room 706, Milwaukee, WI 53202.

Conclusion

EEO Code 202

The City of Milwaukee values and encourages diversity and is an equal opportunity employer.