Clinic Provider Liaison

Default Work Shift:

Day (United States of America)

Hours:

40

Salary range:

$35.42 - $53.80

Schedule:

Full Time

Shift Hours:

8 Hour employee

Department:

Clinic Billing Services

Job Objective:

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. Responsible for coordinating with all levels of management and administration to assist with the onboarding of new providers, residents and service lines.

Job Description:

• Education:
• Required: High School Diploma, GED or higher level degree
• Preferred: Bachelor’s degree in business, accounting or related field

• Licensure/Certification:
• Required: Valid CA driver’s license and exceptional DMV driving record; Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC)

Experience:

Required: Three (3) years of experience collaborating with physicians for patient billing, compliance and EMR usage and two (2) years of provider-based coding experience

Preferred: Medical office management with emphasis on provider documentation, revenue cycle and reimbursement; benchmark review and reporting; provider education

• Reports To: Director-Clinic Billing Services
• Supervises: N/A
• Ages of Patients: N/A
• Blood Borne Pathogens: Minimal/ No Potential

Skills, Knowledge, Abilities:

Ability to coordinate educational sessions for multiple types of providers, Ability to demonstrate an awareness and understanding of medical insurances, contracts and related provider requirements related to such, Ability to demonstrate personal initiative, poise and confidence, accept challenges, and possess a proven working knowledge of EMR and Billing systems, Ability to identify and research current and proposed CMS guidelines and updates as it relates to current and pending service lines, Ability to prepare and distribute reports Excellent skills in documentation, data analysis, trend analysis, Ability to work flexible shifts and hours, Ability to work independently and out in field Must be able to travel within a 50 mile radius daily, Knowledge of general medical office practice workflow, Knowledge of physician practice processes including front, in room and back office, Possesses good time management and organizational skills Customer and results oriented Good listening skills Reliable, excellent follow through and effective utilization of organizational resources, Possesses strong relationship building and interpersonal skills; articulate in written and oral communication, Strong skills in Excel, Word, PowerPoint

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.
• 2.Conducts physician visits within the EMA provider network
• 3.Cultivates positive and productive relationships with providers, managers, clinical and office staff.
• 4.Meets Identified education and audit schedules.
• 5.Presents monthly alerts related to current trends or new CMS regulations.
• 6.Identifies and follows up on provider needs on a timely basis; initiates follow up within 1 week.
• 7.Complies with EMC expense reimbursement guidance and timely submittal of expense reports.
• 8.Responsible for coding 5% or greater of areas of responsibility maintaining a 95% accuracy rate.
• 9.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.
• 10.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.
• 11.Coordinates with inpatient and outpatient departmental directors and managers, to ensure timely submission of charges.
• 12.Reviews and distributes provider opportunity/audit reports.
• 13.Provides accurate and complete statistical analysis to providers and management as indicated.
• 14.Provides to the Director, Clinic Billing Services, a monthly summary report of the key initiatives and other areas of concern and opportunity.
• 15.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.
• 16.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.
• 17.Maintains a daily schedule and spends 80% of time in the field.
• 18.Provides summary reports of weekly activities to management.
• 19.Performs other duties as assigned.