Revenue Cycle Liaison

2 months ago

Washington, Washington, D.C., United States MEDSTAR HEALTH Full time

General Summary of Position
Represents MPBS (MedStar Physician Billing Services) to assigned clinical service lines and entities. Provides support and guidance related to revenue cycle optimization and problem resolution. Distills standard and ad hoc analytics into understandable findings and communicates with all levels of associates, ranging from: physicians and other clinical staff; entity and service line leadership; and line staff throughout the professional services enterprise. Fields inquiries from all associates regarding all phases of the revenue cycle, ensuring that the problem or question is resolved or addressed correctly and in a timely manner. Resolves problems or inquiries that include identifying the correct resource, either within MPBS or externally within MedStar, as well as identifying problems that require escalation to leadership. The Revenue Cycle Liaison MPBS must be well versed in every phase of the revenue cycle (including but not limited to: scheduling; registration; coding; claims submission and adjudication and all related analytics). Aids the practice and individual clinician to better understand their financial and operational performance, and targets achievable improvements, efficiencies, regulatory compliance and enhanced patient satisfaction.

Primary Duties and Responsibilities

Attends practice related and other meetings with or for Associate Director, Director, AVP as requested, and follows up and communicates information, as appropriate. These meetings require the associate to provide advanced revenue cycle analytics, identify opportunities for efficiency and revenue optimization.Supports client practice leadership in developing productivity and quality assurance standards that maximize revenue opportunity and are compliant with applicable state and federal regulations.Requests and reviews all standard produced reporting to identify trends or issues. Monitors and researches key operating and performance trends to include but not limited to, GCR, NCR, denial percentage, charge lag, and accounts receivable days.Analyzes, synthesizes and reports assigned receivables in accordance with policies and procedures. Using data and observation, identifies opportunities for revenue improvement, increased efficiency and effectiveness.Optimizes collaboration between departmental partners and MPBS to resolve issues in patient management, AR management and overall revenue cycle process. Tasks of this nature include but are not limited to patient/customer service inquiries, payer correspondence related to audits, communication about regulatory findings, navigating IT/IS challenges (creating TES and/or claim edits, user access to system functions), provider credentialing and specialty recognition, new locations, or specialty services (including pricing methodology).Partners with A/R management to target denial trends and facilitates successful adjudication.Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.Participates in educational/professional development activities.Supports development and facilitation of onsite revenue cycle training and education to ensure best practice and systems procedures.

Minimum Qualifications
Education

  • Bachelor's degree preferred

Experience

  • 3-4 years Medical practice management or professional services reimbursement experience required
  • One year of relevant professional-level work experience may be substituted for one year of required education.

Licenses and Certifications

  • CPC (Certified Professional Coder) certification preferred

Knowledge, Skills, and Abilities

  • Comprehensive understanding of CPT, ICD-10, HCPCS, ASA and CDT-2 coding. Strong problem-solving abilities. Ability to work effectively and independently under pressure in a deadline driven production orientation workplace while maintaining a professional demeanor. Must be able to work in a fast-paced environment and to analyze, quantify and produce reports about concerns that are identified within revenue cycle process. Must possess working knowledge of payer's policies, the health care industry, regulatory and compliance issues, as well as excellent technical knowledge of and proficiency with practice management systems. Excellent verbal and written communication skills. Working knowledge of physician practice revenue cycle workflows to troubleshoot/problem solve. Must possess a thorough knowledge of Windows Office applications (Word, Excel, Power Point etc.) Expertise in database tools (Access, SQL) is beneficial but not required. Must be able to deliver work product in a timely manner, while managing competing priorities. Must possess a keen understanding of the healthcare regulatory environment.

This position has a hiring range of $28.20 -
$44.83

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