Description
Summary of Position:
The Hospital Billing Liaison serves as a centralized point of contact for all hospital billing inquiries. This position will research, coordinate, escalate to the appropriate area and respond timely to all internal and external billing questions.
Qualifications
Education:
• High School Diploma or GED preferred
Experience:
• Must have specific knowledge of diagnostic and procedural terminology, ICD and CPT/ HCPCS coding systems, and billing compliance rules.
• Strong working knowledge of hospital and physician billing and coding rules and guidelines.
• Strong knowledge in Revenue Cycle to include claims and reimbursement, inpatient and outpatient.
• Working knowledge of government and commercial payers, insurance contract analysis, and denial data.
• Strong problem-solving skills with the ability to prioritize and delegate multiple tasks.
• Exceptional verbal and written communication skills and the ability to professionally interact at all levels within the organization and with external partners/contacts is key.
• Knowledge of Epic software preferred.
Knowledge/Skills/Abilities:
• Ability to manage multiple tasks.
• Ability to problem solve and create workable solutions from available information.
• Strong ability to research complex state and federal guidelines, both for government and commercial payors.
• Willingness to engage and assist in the education of staff and patients.
• In depth knowledge of areas involving authorization, coding, billing, and reimbursement.
• Ability to monitor and prioritize tasks and issues throughout a given workday.
• Strong communication skills
• Strong computer skills
Certifications/Licensure:
• Medical Billing or Coding certificate preferred.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear.
• The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms.
• The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl.
• Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.
• The employee must occasionally lift and/or move up to 25 pounds.
Working Conditions
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Normal office environment. The noise level in the work environment is usually quiet to moderate while in the office.
• Occasional travel to various health system locations.
Essential Functions
1. Answers inquiries from patients, insurance companies, other departments and vendors.
2. Returns calls, email and other communication in a timely manner.
3. Ensures that all inquiries are handled by the appropriate staff and responds in a timely manner.
4. Performs clerical duties such as faxing photocopying, typing, email, etc.
5. Verifies and updates patient demographics in system as needed to ensure accurate patient information and insurance are present.
6. Accurately reviews claims and remittance data.
7. Work with auditors and other outside agencies to provide patient account reviews.
8. Conducts complex patient account research as requested by internal customers and/or senior management.
9. Responds to the needs of the department by performing other duties, as necessary.
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