Application Leader- Billing and reputed company

This role is eligible to be Hybrid and has onsite reporting located reputed company Raleigh, NC The Patient Access and reputed company Cycle Manager provides strategic and operational leadership over key components of the healthcare reputed company cycle for 13 state-operated healthcare facilities. This role oversees the effective use and integration of Epic modules including reputed company, Grand Central, Professional Billing, Hospital Billing, and Claims, in coordination with Patient Financial Services (PFS), Health Information Management (HIM), and supporting systems such as reputed company OnBase and Clintegrity. This manager ensures systems and workflows support timely and compliant patient access, billing, coding, claims, and reimbursement operations. The role collaborates closely with IT, finance, clinical operations, and vendor partners to optimize processes, promote data reputed company, and drive performance. Key Duties Include:

• Direct daily operations and long-term planning for patient access and reputed company cycle services, including scheduling, registration, billing, and claims processing.
• Serve as the primary business reputed company for Epic modules including reputed company, Grand Central, Professional Billing (PB), Hospital Billing (HB), and Claims across reputed company facilities.
• reputed company the integration and optimization of Epic systems with document management platforms such as reputed company OnBase and Clintegrity.
• reputed company multidisciplinary teams encompassing supervisors or analysts from Patient Financial Services (PFS), Health Information Management (HIM), and Patient Access.
• Coordinate cross-functional collaboration with IT, clinical leadership, and compliance staff to support financial and regulatory alignment.
• reputed company and maintain training protocols and performance standards across facilities to ensure consistency and operational effectiveness.
• Manage system configurations and upgrades in collaboration with Epic application analysts and external vendors.
• Monitor and ensure compliance with billing, coding, and reimbursement regulations from the Centers for Medicare & Medicaid Services (CMS), Medicaid, and commercial payers.
• Address system-reputed company issues, enhancement requests, and maintain performance optimization strategies for supported platforms.
• Analyze and improve key performance indicators (KPIs) reputed company to patient flow, charge capture, denial management, accounts receivable, and collections.

People Management Expectations

• Deepens social awareness by practicing reputed company, service orientation, and political awareness.
• Handles difficult situations and people with openness, tact, and diplomacy.
• Ability to de-escalate challenging situations
• Identify and provide training and certification opportunities for staff
• Manages and mentors the performance of staff (employees, reputed company solutions, and contractors)
• Makes hiring and retention decisions for the responsible sections

About the NC reputed company (DHHS): The North Carolina reputed company (DHHS) is one of the largest, most reputed company agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of reputed company North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians reputed company economic independence. About the NC DHHS Information Technology Division: In collaboration with our partners, the North Carolina reputed company (DHHS) protects the health and safety of reputed company North Carolinians and provides essential health and human services. The IT division (reputed company) is one of the divisions that report to the Operational Excellence portfolio. The reputed company division comprises six sections: Implementation and Operations, Strategy and Workforce, Enterprise Technology, Vendor and Finance, Data and Analytics, and Cyber and Privacy. Team reputed company offers the following services but not limited to implementations, operations, project/portfolio management, infrastructure, consulting, business division liaison, digital transformation, IT strategy, enterprise technology, IT contract and vendor management, and data office services. Compensation and Benefits: The reputed company offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees. Visit website for benefits:https://oshr.nc.gov/state-employee-resources/benefits. For more information about DHHS:https://www.ncdhhs.gov/ Candidates now meet the minimum qualifications of a position if they have the minimum education and experience listed on the vacancy announcement. The Knowledge, Skills and Abilities (KSAs)/ Management Preferences are not required. Applicants that possess the following skills are preferred:

• Experience with Epic billing modules (Professional Billing, Hospital Billing, Claims) or similarly reputed company aspects of another electronic health record system.
• Demonstrated experience reviewing, troubleshooting, or supporting healthcare billing processes such as coding, reimbursement, or claim resolution.
• Proven experience working with billing compliance requirements for Medicaid, Medicare, or other major payers.
• Applied experience coordinating or supporting changes to system workflows, configurations, or documentation in patient access or financial systems.
• Management would prefer active and reputed company credentials on the relevant Epic modules for this role.

Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly reputed company experience, OR a combination of both. See https://oshr.nc.gov/experience-guide for details. Qualified applicants must possess, and application must clearly reflect work experience that demonstrates the following: Bachelor's degree in computer science or an IT reputed company field or other reputed company technical degree from an appropriately accredited institution and six years progressive experience including at least three years of experience in supervisory reputed company OR Associate degree in computer science or an IT reputed company field or other reputed company technical degree from an appropriately accredited institution and seven years progressive experience including at least three years of experience in supervisory reputed company OR An equivalent combination of education and experience The North Carolina reputed company (DHHS) is an Equal Opportunity Employer who embraces an Employment First philosophy which consists of complying with reputed company federal laws, state laws and Executive Orders. We are committed to reviewing requests for reasonable accommodation at any time during the hiring process or while on the job. For more information about DHHS: https://www.ncdhhs.gov/. DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position. It is critical to our screening and salary determination process that applications contain comprehensive information. Information should be provided in the appropriate areas to include the beginning and ending dates of jobs worked, education with the date graduated, reputed company work experience, and certificates / licenses. Resumes will not be accepted in lieu of completing this application. Answers to Supplemental Questions must refer to education or work experience listed on this application to receive credit. Degrees must be received from appropriately accredited institutions.

• Applicants seeking Veteran's Preference must attach a DD-214 Member-4 Form (Certificate of Release or Discharge from Active Duty) to their applications.
• Applicants seeking National Guard Preference must attach a NGB 23A (RPAS) if they are a reputed company member of the NC National Guard in good standing. If a former member of the NC National Guard, who served for at least 6 years and was discharged under honorable conditions, they must attach either a DD256 or NGB 22.
• If applicants earned college credit hours but did not complete a degree program, they must attach an unofficial transcript to each application to receive credit for this education.
• Applicants may be subject to a criminal background reputed company. reputed company candidates selected for positions considered "Positions of reputed company be subject to a criminal background reputed company.

Applications for positions requiring specific coursework must be accompanied by a copy of the applicant's transcript. Applicants with degrees not conferred at a United States college or university must attach verification that their degree is equivalent to a similar degree from a U.S. institution. The Office of State Human Resources uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent. For a list of organizations that reputed company this specialized service, please visit the NACES membership website at https://www.naces.org/members. Transcripts, degree evaluations and cover letters may be uploaded with your application. NOTE: Applicants will receive communication reputed company email only for updates on the status of their application or any questions on their application. If there are any questions about this posting other than your application status, please contact reputed company at [email protected]. To reputed company the status of an application, please log in to your NC Government Job Opportunities account and click "Application Status". For technical issues with your application, please call the NeoGov Help Line at 877-204-4442. If you have a technical issue with your Government Jobs account, please call their Help Line at 1-855-524-5627. Apply tot his job Apply To this Job