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Vendor Liaison

2 months ago

Anaheim, United States KPC GLOBAL MEDICAL CENTERS INC. Full time
Job DescriptionJob Description

SUMMARY

This position requires timely assignment, support and management of vendor’s account receivable up to resolution. The Liaison is responsible for running weekly assignment based on the criteria set by upper management, import/export files including but not limited to assignments/payment and adjustments updates, vendor’s notes, insurance and patient’s correspondence. This liaison will serve internal/external stakeholders on issues related to vendor inventory, collaborate with billing/collection/reimbursement/revenue integrity including Health Information Dept for coding related issues to ensure vendor’s inquiries are validated/satisfied timely, assist with system/collection follow up/tools training as identified, manages return inventory and identify next action required including but not limited to reclass/pmt posting correction/adjustment/assign to selfpay collections on end balances due from patient/identify and assigned to 2nd level collection vendors/sent patient collection notice, follow up with vendor’s insurance/demographics discovery by updating Paragon and demanding billing and collection follow up as required, review monthly vendor’s collection report for posting and reconciliation, validate vendor’s credit balance report, reconcile and report monthly vendor’s performance.

REQUIREMENTS

Responsibility & Duties:

  1. Timely vendor assignment: analyze open account receivable, identify accounts that qualify for assignment, and transmit in a timely manner.
  2. Ensure updated payments, adjustments and notes files are transmitted in a timely manner
  3. Reconcile vendor’s inventory: ensure vendor assignments are acknowledge and reconciled
  4. Manage all internal and external inquiries for vendor’s account receivable
  5. Manage vendor’s inquiries, reports such as but not limited to, payment corrections, adjustment approval, payer contract reimbursement, coordinate rebill requests and coding inquiries with respective Depts.
  6. Communicates effectively in a professional manner and collaborate with vendor to build a strong relationship and team.
  7. Analyze vendor’s inventory. identify areas of deficiencies and initiate processes improvement by supplying training tools and examples to vendor’s management team
  8. Manage return vendor’s reports by taking the necessary action to resolve balance, assign balances due by patient to the appropriate agency, payer updates/reprice, patient balance billing, adjust or analyze for potential second level vendor assignment or for potential legal assignment.
  9. Review vendor’s credit balances for potential over contractual or overpayments, submit payer refund or report/follow up with designated dept.
  10. Report monthly summary of vendor’s performance to senior management team
  11. Maintain analysis of open account receivables, identify trends or issues within the facilities or other depts and report to senior management team.
  12. Maintain current knowledge of system, payer contracts, billing and collection rules and guidelines
  13. Other duties as assigned

EDUCATION & EXPERIENCE REQUIREMENTS:

  • High school diploma or combination of relevant experience and education.
  • Three years increasingly responsible experience in Revenue Cycle with a focus on systems and vendor management.

SKILLS & ABILITIES REQUIREMENTS:

  • Excellent communication and customer service skills
  • Ability to discuss financial obligations with clients
  • Knowledge of computer systems and Microsoft office
  • Maintain current knowledge of system, payer contracts, billing and collection rules and guidelines
  • Act as a professional representative of the company in all interactions
  • Excellent organizational skills
  • Demonstrated problem solving skills
  • Ability to analyze and interpret financial data

PHYSICAL REQUIREMENTS:

  • Body Positions: Sitting and standing for prolonged periods.
  • Body Movements: Arm and hand dexterity.
  • Body Senses: Must have command of close and distant sight, color perception and hearing.
  • Strength: Ability to lift and move up to 25-pounds.

Working Environment:

  1. Work in an office, where the climate is controlled
  2. Occasional travel between medical groups and/or hospitals when necessary. 0-25 % of the time.

OSHA exposure category: III

  1. Category I – Position includes tasks that involve exposure to Blood borne Pathogens.
  2. Category II – Position includes tasks that do not have exposure to Bloodborne Pathogens, however employment may require unplanned Category I tasks.
  3. Category III – Positions includes tasks that do not involve exposure to Bloodborne Pathogens. This position would not be required to perform Category I tasks.