RMF Liaison, Admin RMF

DHR Health - US:TX:Edinburg - Days

Summary:

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

POSITION SUMMARY:

Acts as a liaison between Hospital Business Office, RMF Administration and professional physician offices. Responsible for building relationships with leadership of the physician offices, training of staff and the Hospital Revenue Cycle to accomplish established goals of organization, as related to revenue cycle outcomes. Must have a thorough knowledge of revenue cycle and clinic operations to readily identify trends and workflows that are impacting successful revenue outcomes.

POSITION EDUCATION/ QUALIFICATIONS:
• GED or High school diploma preferred; some college preferred
• Two years of management experience in clinic setting, required
• Proficient in Microsoft office suite, Excel, WORD and power point in particular
• Excellent interpersonal skills
• Team oriented and able to problem solve
• Position requires travel, valid driver's license and vehicle insurance are required

JOB KNOWLEDGE/EXPERIENCE:
• Two (2) years of management experience in clinic setting, required.
• Experience working with Excel spreadsheet is required
• Previous experience with EMR systems

Responsibilities:

POSITION RESPONSIBILITES:
• Clinic Support
• Schedules routine site visits to support in the resolution of any issues end users may be encountering as related to RMF revenue cycle functions -
• Serves as a resource to practices for educating staff on accurate and appropriate revenue cycle workflow
• Acts as a liaison between practices and Revenue Cycle leadership to identify and resolve issues related to claim processing, claim payments and denial resolution as related to workflows in clinics that can be improved for better revenue cycle outcomes
• Participates in resolving difficult account matters and/or customer staff situations by analytically applying the health system policy and procedure
• Training
• Provide ongoing training on all Revenue Cycle processes to new and existing staff
• Participates in education of new or refresher employees in Revenue Cycle Academy classes as requested
• Attends seminars and weekly staff meetings
• Communication
• Provides communication to Revenue Cycle leadership regarding identified trends that need to be resolved to ensure optimal revenue cycle outcomes
• Keeps applicable teams and team members involved in any changes that may affect workflow or revenue cycle outcomes
• Provide documentation of site visits and findings to clinic and RMF Administration
• Monthly audit checklist to be completed for each office
• Maintain and reconcile project tracking task tool with expected due dates
• Compliance
• Maintain current working knowledge of changes in health care reimbursements
• Follows all DHR Compliance Rules and Regulations
• Follows all HIPAA regulations without exception
• Review billing audit and reports requested by accounting and corporate compliance
• Other duties as assigned.

LINES OF REPSONSIBILITES:

(Chain-of-command) Revenue Cycle Clinic Educator manager 2. VP of Revenue Cycle 3. Chief Ambulatory Officer

Other information:

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA):

A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:

Light/moderate lifting up to 30 lbs, from the floor to shoulder height.

Yes

Kneeling

Yes

Must be able to assist other employees with lifting more than 30 lbs.

Yes

Walking

Yes

Light/moderate carrying up to 30 lbs.

Yes

Standing/Squatting

Yes

Straight pulling

Yes

Sitting

Yes

Pulling hand over hand

Yes

Pushing

Yes

Repeated bending

Yes

Stooping/Bending

Yes

Reaching above shoulder

Yes

Climbing Stairs

Yes

Simple grasping

Yes

Climbing Ladders

No

Dual simultaneous grasping

Yes

Depth Perceptions needed

Yes

Ability to see

Yes

Identify Colors

Yes

Operating office equipment

Yes

Twisting

Yes

Operating mechanical equipment

Yes

Crawling

No

Ability to read and write

Yes

Ability to Count

Yes

Ability to hear verbal communication without aid

Yes

Operating Personal Vehicle

Yes

Ability to comprehend written/verbal communication

Yes

Other: Ability to deal with stress

Yes

OSHA Category

III

B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.

C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.

D. Aptitudes: HIGH 1 2 3 4 5 6 LOW

Intelligence: General learning ability: The ability to "catch on" or understand instructions and underlying principles. Ability to reason and make judgments. 3

Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3

Numerical: Ability to perform arithmetic operations quickly and accurately. 2

Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to "visualize" objects or two or three dimensions, or to think visually of geometric forms. 2

Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3

Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2

Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3

Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3

Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3

Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3

Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3

I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.

If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.

Employee Signature: ________________________________ Date: ____________________

Transfer/Hire Date Effective: ________________________.