Analyst, CBO Operations

Job Title: CBO Operations Analyst

Division: MedSrv

Reports to: Operations Manager

FLSA Status: Non-Exempt

Job Title: CBO Operations Analyst

Division: MedSrv

Reports to: Operations Manager

FLSA Status: Non-Exempt

Revised Date: April 2022

SUMMARY

Responsible for the management of all remits, website access, credentialing denials, build and management of corporate contracts, etc. Additional responsibilities may include but are not limited to.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Web site setup and password maintenance
• Review and forward electronic faxes (EFT notifications and virtual credit card payments)
• Scan and mail collection checks
• Back up for processing refund checks
• Back up for reviewing and forwarding hardcopy mail
• Reviews any operational issues/questions with Operations Assistant Manager and Manager
• Set up system access...Athena, Citrix, Series, AS400, DDE, EPIC, OnBase etc.
• Submit internal IT tickets
• Review and resolve issues logged in Ticket Tracker
• Identify and implement process improvement when applicable
• Assist with testing, implementation, and review of new processes
• Assist upper management as needed
• Assist with special projects as needed
• Assist AR reps as needed
• Represent the CBO professionally
• Research and resolve 277 rejections
• Research and resolve billing claim edits
• Maintain assigned work queues
• Monitor Clearinghouse for EDI enrollment

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE

High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.

LANGUAGE SKILLS

Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

MATHEMATICAL SKILLS

Ability to add, subtract, multiply, and divide in all units of measure, using who numbers, common fractions, and decimals.

REASONING ABILITY

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Ability to learn and comprehend basic insurance terminology and protocols in order to handle patient accounts.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms, and talk or hear. Specific vision abilities required by this job include the ability to adjust focus.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.