Description
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
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
- Comprehensive understanding of CPT, ICD-10, HCPCS, ASA and CDT-2 coding. Strong problem-solving abilities. Ability to work effectively and independently under pressure in a deadline driven production orientation workplace while maintaining a professional demeanor. Must be able to work in a fast-paced environment and to analyze, quantify and produce reports about concerns that are identified within revenue cycle process. Must possess working knowledge of payer's policies, the health care industry, regulatory and compliance issues, as well as excellent technical knowledge of and proficiency with practice management systems. Excellent verbal and written communication skills. Working knowledge of physician practice revenue cycle workflows to troubleshoot/problem solve. Must possess a thorough knowledge of Windows Office applications (Word, Excel, Power Point etc.) Expertise in database tools (Access, SQL) is beneficial but not required. Must be able to deliver work product in a timely manner, while managing competing priorities. Must possess a keen understanding of the healthcare regulatory environment.
This position has a hiring range of $28.2 - $47.3
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