Revenue Cycle and Billing Operations Lead
PM Pediatric Care
Salary
💰 $88,462 - $132,694 per year
Job Level
JuniorMid-Level
About the role
- The business analyst will serve as the primary point of contact for business-critical Comfort Medical solutions with deep expertise in Brightree system administration and optimization.
- In this position, you will focus on day-to-day support, system maintenance, and data management, while also collaborating with stakeholders across the Comfort Medical organization to identify and implement workflow and process improvements.
- As the subject matter expert on Brightree capabilities, integrations, and strategic enhancements, you will play a key role in maximizing the system’s value.
- This role will also challenge the status quo by identifying and implementing process optimizations that will increase overall efficiency in the way our teams operate.
- Tasks may originate from projects, requests for change, continuous improvement or troubleshooting to solve system issues.
- This role will work closely with several business functions including Order Fulfillment, Marketing, Revenue Cycle Management, Outside Sales, and Regulatory Affairs & Credentialing.
- Major Areas of Accountability:
- Serve as Brightree subject matter expert, providing strategic guidance on system capabilities, limitations, and optimization opportunities.
- Lead Brightree Configuration Management, including complex workflows, business rules, and custom reporting solutions.
- Drive operational efficiencies by continuously improving, ensuring compliance, and standardizing order-to-cash processes.
- Ensure best practices by maintaining close communication with vendors, attending courses, monitoring release notes, and performing external benchmarking.
- Develop, implement, and uphold a comprehensive master data management strategy.
- Take ownership of data issues, serving as the first line of defense from identification to resolution, and escalating as necessary.
- Secure master data integrity, establish processes and cadence for data uploads (e.g. pricing tables).
- Respond to user issues, troubleshoot, and provide problem-solving assistance as required.
- Manage relationship with vendors.
- Document and maintain the system change process.
- Manage system access control, permissions, and privileges.
- Set expected service level goals for application operations and support, monitor performance and escalate issues as needed.
- Own general configurations such validation rules, custom fields, and picklists.
- Maintain a high-level understanding of supporting solutions to provide recommendations on potential integration points and functionality intersections.
- Collaborate closely with the development team on new solutions and enhancements.
- Collaborate with the training team and department management to plan, develop, and oversee user training for new and revised processes.
- Support IT Resource Management, provide business ownership and RFC documentation.
- Other responsibilities as assigned.
Requirements
- Minimum 2-3 years of hands-on Brightree experience, including system configuration, reporting, and workflow management.
- Demonstrated ability to lead strategic discussions about system capabilities and business process optimization.
- Bachelor’s degree in business/process management or related field, or equivalent experience.
- Strong analytical and problem-solving skills with the ability to collect, organize, and analyze complex data sets.
- Solid understanding of business processes and the ability to identify areas for improvement and recommend solutions.
- Familiarity with project management methodologies and the ability to contribute to project planning and implementation.
- Excellent communication skills, both written and verbal, with the ability to effectively collaborate with stakeholders at all levels.
- Experience working in the healthcare industry, preferably within a DME business.
- Willingness and ability to travel, including overnight – up to 15%.
- Preferred Qualifications:
- Experience with Brightree integrations (EDI, billing systems, inventory management, etc.)
- Experience leading Brightree upgrades or major configuration changes.
- Proficiency with Microsoft Office suite of products with advanced knowledge of Excel.
- Knowledge of the medical/insurance reimbursement process, including documentation requirements and insurance verification process for disposable medical products.
- Business acumen to facilitate effective/efficient order to cash process.
