Revenue Cycle Business Partner II

Position Summary

Under the direction of the Senior Manager, Vendor Management, the Revenue Cycle Business Partner II will provide analytical support to resolve various high‑exposure operating and finance issues across all areas of Boston Medical Center and Boston University Medical Group (BUMG). The position requires minimal supervision and may work independently, possessing in‑depth knowledge of physician billing, hospital billing, charging workflows, vendor workflows and policies for the SBO.

The individual monitors regulatory changes and payer requirements for coding and billing, applying this knowledge appropriately in collaboration with the appropriate teams. Due to the service focus and project‑management emphasis, this role requires strong interpersonal and communication skills, well‑developed analytical and organizational skills, and the ability to meet deadlines within a high‑pace environment. The Business Partner leads large projects, conducts detailed assessments to resolve problems identified by the Senior Manager, Sr.

Director and VP, and is responsible for identifying and implementing corrective action plans to recover lost revenue opportunities and improve reimbursement. Acting as a liaison between the Revenue Cycle billing office, third‑party vendors, and revenue‑generating departments, the Business Partner provides advanced analytical support, leads large complex projects, and develops detailed resolution plans. The role also creates a positive, constructive, and supportive relationship between physician departments, the facility, and other stakeholders needed to resolve issues.

Position: Revenue Cycle Business Partner II

Department: PFS Administration

Schedule: Full Time, Quincy MA

• Responsible for the oversight and completion of the monthly reconciliation of account placements with vendors and validates account‑level detail on monthly invoices.
• Provide oversight for assigned physician departments in collaboration with Professional Billing Office Managers, revenue cycle, third‑party vendor and BUMG Finance and BMC Finance.
• Monitors current charging and billing processes in physician departments to ensure appropriate capture and resolve issues within work queues based on system edits.
• Track charge‑error trends, patterns and opportunities and develop a reporting packet to share findings and make recommendations on long‑term resolution in partnership with billing compliance, coding and government and third‑party payer requirements.
• Perform necessary actions to work assigned work queues accurately and within established time frames.
• Establish Epic work queue data metrics, and associated root‑cause analysis. Executes workflow processes to correctly identify deficiencies.
• Assess the accuracy and build of back‑end workflows in EPIC, including work queue structure, edit accuracy, and follow‑up workflows and make recommendations on process improvements.
• Leads and participates in large complex projects related to revenue cycle initiatives. With limited management oversight, develop work plans and lead project timelines for large and complex initiatives to complete assigned projects in the most timely and efficient manner possible.
• Collaborates with Revenue Cycle Operations staff, Compliance and other Revenue and Finance departments on revenue management initiatives.
• Provides guidance to senior leadership regarding ongoing vendor performance and opportunities to change vendors or service offerings.
• Act as a team liaison as internal team members perform various assessments, analytical research and support including, but not limited to: root‑cause, analyses, cost/benefit analyses, and financial projection for departments based on volume and/or revenue.
• Provide first‑tier escalation support to SBO Business Associates, departmental stakeholders, and Revenue Cycle departments, internal and external customers.
• Collaborate effectively with diverse groups of people and various revenue cycle and physician departments throughout the organization on revenue improvement initiatives.
• Maintain professional skills and knowledge through attendance at in‑service…