The SBO Patient Experience/Quality Analyst assists leadership in supporting the UCMC & UCPG Revenue Cycle Patient Financial experience, serving as the point of contact for patient complaint escalations and coordinating responses to complaints and concerns. This role ensures patient data accuracy through quality audits and assists in self-pay AR reconciliation, working with the Specialty billing team to resolve self-pay AR issues.
Review and resolve facility bill holds, coding edits and denials/claims rejections to ensure timely and accurate claim submissions. Provide coding/billing support acting as a resource of knowledge and skill, assisting in maintaining up-to-date coding information. Adhere to service excellence guidelines and CMH policies.
The Lead Customer Experience Manager will organize and deliver major corporate initiatives within specified time frames. This role requires interfacing with multiple departments, creating business requirements into technical specifications, and analyzing delivery and process metrics. The aim is to keep team members focused on delivering results as specified by senior management.
A critical member of MCRA's Reimbursement, Health Economics & Market Access (RHEMA) team, the Manager, Payer Engagement will lead efforts in payer engagement & relations, coverage, payment, and commercial market access; develop payer outreach strategy and support business development of new Payer Engagement programs.