Clinic Provider Liaison

3 weeks ago

Rancho Mirage, United States Eisenhower Health Full time
  • Job Objective: A brief overview of the position.
    • The Eisenhower Clinic Services Provider Liaison position is responsible for fostering and maintaining effective relationships between providers and support staff and the Revenue cycle team. This responsibility is met through continual interaction/training related to coding, documentation requirements, charge integrity and billing. The clinic Provider Liaison is responsible for coordinating with all levels of management and administration to assist with the onboarding of new providers, residents and service lines.
  • Reports to
    • Director, Clinic Revenue Cycle
  • Supervises
    • None
  • Ages of Patients
    • N/A
  • Blood Borne Pathogens
    • Minimal/ No Potential
  • Qualifications
    • Education
      • Required: High School Diploma or GED
      • Preferred a Bachelor's degree in business, accounting or related areas of study including customer relations or HIM
    • Licensure/Certification
      • Required: Valid Driver's license and exceptional DMV driving record.
      • Required: Must complete coding certification within 18 months of hire if not certified at hire into the position( CPC,AAPC)
    • Experience
      • Required: 3-5 years Medical/ Customer Service background with an understanding of Medical Terminology and general medical office practice processes.
      • Preferred: 5--7 years Medical Office management with emphasis on provider documentation, coding and reimbursement.
      • Preferred: Benchmark review and reporting.
      • Preferred: Provider education.
  • Essential Responsibilities
    • 1. Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
    • Conducts physician visits within the EMA provider network
      • Cultivates positive and productive relationships with providers, managers, clinical and office staff.
      • Meets Identified education and audit schedules.
      • Presents monthly alerts related to current trends or new CMS regulations
      • Identifies and follows up on provider needs on a timely basis; initiates follow up within 1 week.
      • Complies with EMC expense reimbursement guidance and timely submittal of expense reports.
    • Responsible for coding 5 % or greater of areas of responsibility maintaining a 95 % accuracy rate.
    • Coordinates with coding vendor(s) related to areas of responsibility and coordinates reporting, productivity and communication of such with Manager and Providers. Reviews and Validates all audit reports prior to presenting to providers
    • Identifies revenue integrity concerns and opportunities through data analysis and metrics tracking and collaborates with physicians on potential follow up and action items. Monitors follow up by others to assure timely response.
    • Coordinates with In-Patient and Out-Patient Departmental Directors and Managers, to ensure timely submission of charges.
    • Reviews and distributes provider opportunity/audit reports.
      • Provides accurate and complete statistical analysis to providers and Management as indicated
      • Provides to the Director, Clinic Revenue Cycle, a monthly summary report of the key initiatives and other areas of concern and opportunity.
      • Shares insight for problem resolutions between EMC Revenue Cycle team and Eisenhower Medical Associates network providers and Management, monitors and reports on follow up of same.
    • Assists with the new provider, resident and fellow orientation process including but not limited to documentation requirements, coding process and use of external means of capturing charges,
    • Maintains a daily schedule and spends 80 % of time in the field.
    • Provides summary reports of weekly activities to management.
    • Performs other duties as assigned.

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