Revenue Cycle Liaison
3 weeks ago
**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**
**Why MedStar Health?**
At MedStar Health, we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued, connected, and empowered. We live up to this promise through:
- **Strong emphasis on teamwork - **our associates feel connected to each other and our mission as an organization. In return, our effective team environment generates positive patient outcomes and high associate satisfaction ratings that exceed the national benchmark.
- **Strategic focus on equity, inclusion, & diversity - **we are committed to equity for all people and communities. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and the ability to contribute to equitable care delivery and improved community health outcomes at all levels of the organization.
- **Comprehensive total rewards package - **including competitive pay, generous paid time off, great health and wellness benefits, retirement savings, education assistance, and so much more.
- **More career opportunities closer to home - **as the largest healthcare provider in the
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