• Revenue Cycle Liaison

    Job Locations US-CA-Hayward
    Job ID
    2018-1219
    Location Site
    HAYWARD -EDN
    Category
    Finance
    Type
    Regular Full-Time
  • Overview

    Under the direct supervision of the Revenue Cycle/Billing Manager with fiscal oversight from the Finance and Accounting department, the Revenue Cycle Liaison is responsible for the processing and maintenance of all current medical patient accounts.  The Revenue Cycle Liaison also provides analytical support to establish and achieve revenue cycle goals and objectives. Using industry guidelines and best practice standards, The Revenue Cycle Liaison supports optimization of department performance in a variety of areas, including, but not limited to, coding and claims submission and adjudication. Using standard and ad hoc reporting, the Revenue Cycle Liaison identifies opportunities for improvement and procedural enhancement. As a collaborative position, the Revenue Cycle Liaison must work together with physicians, medical assistance, front desk staff, and Finance and IT staff (and staff from other departments) to ensure the timeliness and accuracy of billing for patients. 

     

    Responsibilities

    • Performs day-to-day administrative functions in support of the medical services department with a focus on patient billing.
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      Establishes, maintains and updates patient accounts in accordance with TVHC policies and procedures. 
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      Works interdependently with the Finance and Accounting department to maximize patient billing under all forms of acceptable insurance reimbursement and self-pay.
       
    • Communicates regularly with the management staff, as appropriate, to ensure the smooth and efficient workflow and processes throughout the Health Centers.
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      Verifies accuracy on all patient encounter forms, resolving all questions in procedure coding prior to submitting billing.  Also works with providers and support staff to address billing rejections to make necessary corrections for timely rebilling.
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      Maintains current knowledge of billing practices, procedure codes, and patient insurances.  Enlists the assistance of the Chief Financial Officer and/or her/his designee in questions of compliance, “red flag” activity, proper handling of cash receivables, and other matters involving fiscal responsibility in patient accounts.
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      Monitors workflow for multiple sites to accomplish timely billing cycles, submitting all records on a monthly schedule without fail and without compromise to accuracy.
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      Observes highest degree of confidentiality protocols to prevent compromise of patient records.
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      Provides superior customer service to all patients and takes a solutions-oriented approach to all complaints related to patient billing issues.
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      Enters charges, receipts, changes and other input into the patient accounts information systems.
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      Ensures integrity of patient records including computer data back-up on a daily basis.
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      Demonstrates ability to meet or exceed Service Excellence Standards of TVHC, Inc.
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      Enter / update sliding scale fees as approved by the Board of Directors
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      Performs other duties as assigned.

    Qualifications

    Preferred:

     

    • Minimum three years medical practice billing experience; medical practice front-end experience and understanding preferred.
    • Incumbent must possess excellent oral and written communication skills.
    • Must have advanced analytical skills, including data analysis and procedure review.
    • Proficiency with Microsoft Office applications, particularly Excel, Word and PowerPoint.
    • Report production and presentation skills.
    • Excellent interpersonal skills.
    • Highly developed customer service skills.
    • Ability to relate well to physicians and other front office administrators and staff, as well as with billing management and staff.
    • Experience with NextGen Electronic Billing, and EHR in an FQHC environment

     

    Required:

    • High school graduate or equivalent required; Associates degree in accounting or related field highly preferred.
    • Minimum two years prior experience in accounting function, preferably with at least one year in a health services delivery environment.
    • Prior experience handling cash receivables, making deposits, providing receipts and keeping logs of payments highly desirable.
    • Experience working with Non-Profit agencies helpful, but not required.

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