• Job Description

  Req#: 42353
  Job Description:
  
  Job Summary:
  
  • We are seeking a Business and Financial Operations Specialist (Journeyman) to provide support across multiple health IT and financial systems within the Military Health System (MHS). The ideal candidate will assist in the implementation, management, and training of financial and billing solutions, ensuring accurate and efficient revenue cycle operations.
  • This position requires experience in healthcare financial operations, strong analytical skills, and a collaborative approach to support government and contractor teams.
  
  
  Key Responsibilities:
  
  • MHS GENESIS / Revenue Cycle Central Processing Architecture (CPA) Support
  • Provide support to the CPA framework as part of the MHS GENESIS Revenue Cycle process.
  • Assist with the integration of financial data and workflow processes across clinical and business systems.
  • Monitor data accuracy and flow between MHS GENESIS and financial subsystems, ensuring compliance with DoD policies.
  • SSI Claims Clearinghouse & Insurance Plan Enrollment (Support)
  • Support insurance claim submissions via the SSI Claims Clearinghouse.
  • Assist with payer enrollment and updates for electronic insurance plan configurations.
  • Help troubleshoot rejections and denials through collaboration with clearinghouse vendors and internal stakeholders.
  • Dentrix Billing Solution Implementation (Support)
  • Support the rollout and integration of Dentrix dental billing systems across designated facilities.
  • Collaborate with IT and clinical staff to ensure seamless data migration and billing workflow alignment.
  • Assist with validation of billing setup and testing scenarios prior to go-live.
  
  
  UBO Helpdesk Support
  
  • Provide Tier I/II support for the Uniform Business Office (UBO) Helpdesk.
  • Resolve end-user inquiries related to billing processes, system errors, and data entry issues.
  • Escalate complex issues appropriately while ensuring timely documentation and follow-up.
  • Education and Training (Support)
  • Develop and deliver training materials for users on billing systems and revenue cycle procedures.
  • Conduct live or virtual training sessions for end-users and stakeholders.
  • Support the creation of user guides, SOPs, and quick reference tools to enhance learning and compliance.
  
  
  Required Qualifications:
  
  • Bachelor's degree in Business, Finance, Healthcare Administration, or a related field.
  • Minimum 3-5 years of experience in healthcare financial operations or related roles.
  • Familiarity with government healthcare systems such as MHS GENESIS or equivalent.
  • Knowledge of medical and dental billing processes and insurance claims workflows.
  • Strong communication and customer service skills.
  • Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint).
  • Knowledge and a working understanding of revenue cycle concepts, business processes, and/or operations within the healthcare industry (commercial or federal).
  • Ability to apply principles and practices in revenue cycle management and revenue integrity, such as charge capture,
  • coding, billing, reimbursement, denial management, and compliance.
  • Ability to use various software applications and tools to perform revenue cycle and integrity functions, such as Electronic Health Record systems (Oracle/Cerner MHS GENESIS Patient Accounting Module (CPAM)), billing/claim solutions/systems (Electronic Claims Clearinghouse (SSI), 3M 360 Encompass Institutional & Professional Coding, Claim Scrubber Edits (Alpha ii), Dentrix Billing, Patient Statements/Letters (RevSpring)), and data analytics tools/repositories (Excel, Power BI, SAS, Tableau, HealtheAnalytics).
  • Ability to analyze and interpret complex data, processes, and reports related to revenue cycle and integrity.
  • Ability to identify and resolve issues and problems related to revenue cycle and integrity.
  • Ability to collaborate and communicate effectively with team members, clients, business partners, and other various stakeholders involved in revenue cycle and revenue integrity.
  • Ability to succeed in a dynamic team environment and produce deliverables in tight timeframes.
  • Excellent oral, written, and interpersonal skills.
  
  
  Preferred Qualifications:
  
  • Experience with Dentrix, SSI, and/or CPA frameworks.
  • Prior support experience with government or military healthcare systems.
  • Working knowledge of HIPAA and healthcare compliance requirements.
  • Certifications in healthcare revenue cycle or billing (e.g., HFMA, AAPC, AHIMA) are a plus.
  
  
  Working Conditions:
  
  Hybrid or on-site support may be required depending on client needs.

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