GENERAL SUMMARY
The Provider Portal Administrator position is the primary resource for all payer website access and must function independently and handle and understand complex situations and will report to the Senior Billing Manager. In partnership with the management team, this individual will create and implement the website access process required for all team members to obtain, change or terminate access to insurance company websites for CHS providers. The incumbent will be responsible for the design and operation of internal controls to prevent unauthorized access to payer portals and remittance cash flows, for monitoring ongoing compliance by all users with established internal controls and for processing request for access to all payer website for all revenue cycle or other approved team members based on job role and employment status. The incumbent will be responsible for understanding and effectively managing the various insurance companies' website functionality with regard to access for all provider profiles and revenue cycle operations.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Create and manage user set up in accordance with organization structure, key records and the accounts of all other users in their portal. This position will have the highest level of user access rights.
Responsible for the design and operation of internal controls to prevent unauthorized access to payer portals and remittance cash flows. Responsible to monitor ongoing compliance by all users with the established internal controls.
Process daily request based on job status and description utilizing formal internal ticket process in a timely and accurate manner.
Troubleshoot any access and issues and work with employee to achieve proper resolution.
Responsible for properly completing applications for electronic funds transfer.
Understanding and knowledge of all current insurance billing processes and website usage.
Maintain master file of all user accesses by payer.
Reports to Senior Billing Manager.
LICENSES AND/OR CERTIFICATIONS
None required.
MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS
Bachelor's degree preferred, extensive revenue cycle experience may substitute.
Minimum 5 years of revenue cycle relevant experience required.
Proficient with Excel required.
Knowledge of insurance requirements and guidelines.
Ability to identify problems independently and as part of a team, and implement solutions in multi-task, complex situations.
Interpersonal skills necessary to work with all team members.
Technical and professional knowledge and skills unique to the business for designated services.
Possesses excellent leadership, communication, and analytical skills with the ability to plan, manage maintain a professional work environment.
WORKING CONDITIONS
Normal office environment with little exposure to excessive noise, dust, temperature and the like.
PHYSICAL REQUIREMENTS
Click here to view physical requirements. (https://www.chkd.org/uploadedFiles/Documents/Employees/Category%20A%20Jobs.pdf)
