Revenue Cycle Liaison

Tiburcio Vasquez Health Center•Hayward, CA

7d•Onsite

About The Position

Under the direct supervision of Billing/Revenue Cycle leadership, with fiscal oversight from the Finance and Accounting Department, the Revenue Cycle Liaison is responsible for the full cycle of processing and maintaining all third-party and self-pay billing generated by Tiburcio Vasquez Health Center (TVHC). This position is a key member of the centralized billing team and supports Medicare, Medi-Cal, private insurance, managed care, and other third-party billing and collections across all TVHC providers and facilities. The Revenue Cycle Liaison also provides analytical support to help establish and achieve revenue cycle goals and objectives. Using industry guidelines and best-practice standards, this role supports the optimization of department performance in areas including claims submission, adjudication, denial management, and follow-up on outstanding receivables. Through standard and ad hoc reporting, the Revenue Cycle Liaison identifies opportunities for process improvement and operational enhancement. This collaborative role works closely with providers, medical assistants, front desk staff, and Finance and IT teams to ensure the timeliness, accuracy, and integrity of billing operations.

Requirements

High school diploma or equivalent required.
Completion of coding and billing coursework required.
Minimum of two years of medical practice billing experience required.
Bilingual in English and Spanish required.
Experience with Epic electronic billing and electronic health record systems in an FQHC environment.
At least one year of accounts receivable experience, including billing, reconciliations, and collections.

Nice To Haves

Associate degree in accounting or a related field strongly preferred.
Front-end medical practice experience and operational understanding preferred.

Responsibilities

Establishes, maintains, and updates patient accounts in accordance with TVHC policies and procedures.
Works collaboratively with the Finance and Accounting Department to maximize reimbursement under all accepted insurance plans and self-pay arrangements.
Performs timely follow-up on denied Remittance Advice/Explanation of Benefits (RA/EOB) for all insurance claims.
Develops well-supported, patient-specific appeal documentation for payers when appeals are warranted, including medical necessity and prior authorization denials.
Communicate regularly with management and operational staff to support smooth, efficient workflows across health center locations.
Maintains current knowledge of billing practices, procedure codes, and payer requirements, and escalates compliance, red-flag activity, and fiscal concerns to appropriate leadership.
Monitors workflow across multiple sites to ensure timely billing cycles, consistent monthly submissions, and a high standard of accuracy.
Maintains the highest level of confidentiality to safeguard patient information and records.
Provides excellent customer service to patients and applies a solutions-focused approach to billing-related concerns and complaints.
Supports the integrity of patient account records and related system documentation.
Demonstrates the ability to meet or exceed TVHC’s Service Excellence Standards.
Performs other duties as assigned.