Physician Services Billing Liaison

Halifax Health

4d•Onsite

About The Position

The Physician Services Billing Liaison is responsible for ensuring the overall success of the assigned offices billing activities. This position acts as a liaison between the Central Billing Office (CBO) and the assigned offices on-site staff. The position also acts as a bridge regarding Athena and Epic specific technology concerns and the CBO processes. The liaison assists with requests from the Ambulatory Informatics staff, Physician CBO Team Leads, and others. The liaison is an advanced collections user and assists in resolving problems and ensuring compliance with PBFS policies and procedures. The liaison meets monthly with the assigned office leadership staff to share specific metrics related to billing and collection activities, and helps to identify opportunities for success. Serves as the go-to billing expert for specific payer policies and requirements based on prior experience, including but not limited to referrals, pre-authorizations, and medical documentation required by payers to adjudicate claims Takes an active role in accelerating collections by driving the clean claim rate above 95% and decreasing days in Accounts Receivable to less than 33 days by providing feedback to management regarding processes/policies that may need revision to reduce future payer denials. Works with Accounts Payable to issue patient and insurance related refunds. Learns advanced Epic and Athena functionality to assist as a liaison between front desk processes and the external billing team. Coordinates and schedules training sessions specific to the assigned offices billing needs and requirements. Continues to monitor and apply ever-changing payer policies and provide input to management and the external billing team. Facilitates the communication with patients to correct insurance, demographic, and coordination of benefit issues when necessary. Works to resolve patient billing complaints escalated by the external departments. Reviews eligibility worklists to assist and re-educate with obtaining correct patient insurance information prior to appointments. Assists in the on-site staff onboarding process related to billing training and expectations. This will include assisting with new service line implementations and the coordination of communication and training to physician office and hospital-based staff. Assists in maintaining positive working relationships between the PBFS department and the assigned physician office locations. Completes other special projects or tasks as assigned. The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.

Requirements

At least 2 years of experience with a Bachelor's degree or relevant certification from an accredited institution required. Can be substituted with 7 years of comparable healthcare experience.
HFMA CRCR credential required within one year of hire.
Customer-service oriented; able to effectively communicate and build relationships with staff members at all levels in the organization.
Able to manage multiple projects.
Self-Motivated
Proficiency in creating training materials and documentation.
Ability to transfer knowledge to clients with diverse cultural backgrounds, educational experiences, and learning styles.
Team oriented work ethics.
Completion of the Claims Processor II written exam with 90% or higher.
Completion of the Claims Processor II practical exam with 90% or higher.
Completion of the assigned training modules.
Completion of Excel exam.
Completion of Physician Services Coordinator exam
Not more than one disciplinary infraction within a year.
Maintain 3.0 annual evaluation score.
Ability to train others.

Nice To Haves

Certified Coder preferred.

Responsibilities

Ensuring the overall success of the assigned offices billing activities.
Acts as a liaison between the Central Billing Office (CBO) and the assigned offices on-site staff.
Acts as a bridge regarding Athena and Epic specific technology concerns and the CBO processes.
Assists with requests from the Ambulatory Informatics staff, Physician CBO Team Leads, and others.
Assists in resolving problems and ensuring compliance with PBFS policies and procedures.
Meets monthly with the assigned office leadership staff to share specific metrics related to billing and collection activities, and helps to identify opportunities for success.
Serves as the go-to billing expert for specific payer policies and requirements based on prior experience, including but not limited to referrals, pre-authorizations, and medical documentation required by payers to adjudicate claims
Takes an active role in accelerating collections by driving the clean claim rate above 95% and decreasing days in Accounts Receivable to less than 33 days by providing feedback to management regarding processes/policies that may need revision to reduce future payer denials.
Works with Accounts Payable to issue patient and insurance related refunds.
Learns advanced Epic and Athena functionality to assist as a liaison between front desk processes and the external billing team.
Coordinates and schedules training sessions specific to the assigned offices billing needs and requirements.
Continues to monitor and apply ever-changing payer policies and provide input to management and the external billing team.
Facilitates the communication with patients to correct insurance, demographic, and coordination of benefit issues when necessary.
Works to resolve patient billing complaints escalated by the external departments.
Reviews eligibility worklists to assist and re-educate with obtaining correct patient insurance information prior to appointments.
Assists in the on-site staff onboarding process related to billing training and expectations. This will include assisting with new service line implementations and the coordination of communication and training to physician office and hospital-based staff.
Assists in maintaining positive working relationships between the PBFS department and the assigned physician office locations.
Completes other special projects or tasks as assigned.