Revenue Cycle Liaison

Public Health Management Corporation•Philadelphia, PA

3d•Onsite

About The Position

The Revenue Cycle Liaison serves as the primary liaison between clinic operations and centralized revenue cycle teams, ensuring accurate, timely, and compliant revenue capture. This role focuses on front-end and operational workflows that impact billing, reimbursement, and cash flow, including registration accuracy, eligibility verification, charge capture, and issue resolution. This role is responsible for overall FQHC revenue cycle system analytics, troubleshooting, and fix implementation and interfaces with key leaders in PHMC’s Health Center Practice Management, Information Technology, and Finance teams as well as an outsourced revenue cycle vendor. The Revenue Cycle Liaison is responsible for identifying workflow gaps in the revenue cycle via on-site observation or analytical review and reporting them to the appropriate leadership counterpart. They are a strategic partner in recommending potential solutions in those identified workflow gaps. This role supports the clinical operations of Medical, Dental, Behavioral Health, and Podiatry with billable revenue exceeding $20M. Additional service areas may be added, dependent on FQHC's scope of service growth. The Revenue Cycle Liaison proactively identifies revenue risks, supports clinical teams with education and process improvement, and partners with Outsourced Billing Vendor, Finance, Operations, Information Systems, and Compliance to resolve systemic issues impacting reimbursement and patient experience.

Requirements

Associate or bachelor's degree in healthcare administration, business, finance, or a related field, or equivalent experience
Minimum of 3–5 years of experience in healthcare revenue cycle, clinic operations, or front-end registration/eligibility
Working knowledge of ambulatory billing workflows, insurance eligibility, and payor processes
Experience working with EHR and practice management systems
Strong organizational, communication, and problem-solving skills
Ability to work collaboratively across departments and with clinic staff
Strong attention to detail with the ability to identify revenue risk early
Ability to translate revenue cycle requirements into operational workflows
Comfort working in fast-paced, highly collaborative environments
Commitment to equity, access, and patient-centered care
Professional judgment and discretion when handling sensitive financial information
Sound judgment escalating issues to site leadership, financial leadership, and/or enterprise leadership as appropriate

Nice To Haves

Experience in an FQHC or safety-net healthcare setting
Familiarity with Medicaid, Medicare, PPS, and managed care billing
Experience supporting denial management or charge capture improvement
Knowledge of HRSA Health Center Program requirements
Proficiency with reporting tools (e.g., Epic Ochin, Excel, payor portals, others)
Bilingual or multilingual skills reflective of the communities served

Responsibilities

Serves as the primary liaison between clinic operations and centralized billing teams
Tracks, escalates, and resolves site-level front-end revenue cycle issues
Facilitates timely communication between clinic leadership and billing to ensure issues are addressed and closed
Supports root-cause analysis of recurring revenue cycle issues and partners on corrective action plans
Supports clinic teams in maintaining accurate patient registration, insurance verification, eligibility confirmation, self-pay, and sliding fee discount compliance
Monitors front-end workflows that impact billing accuracy and reimbursement
Reinforces standard operating procedures for front-desk, enrollment, and clinic support staff
Partners with Enrollment and site teams to address coverage gaps and payer transitions
Has regular on-site presence at Health Centers for front-end workflow observation, troubleshooting, and training
Works with clinical and operational staff to ensure services are appropriately documented, and charges are submitted accurately and timely
Supports implementation and adherence to charge capture workflows aligned with payer and FQHC requirements
Identifies trends related to missing, late, or incorrect charges and collaborates with finance leadership to address gaps
Acts as a bridge between clinical operations and billing, optimizing reimbursement by auditing charge capture, resolving coding-related denials, and educating staff on documentation improvements; analyzes denial trends, ensures compliant coding (CPT/ICD-10), and facilitates communication to maximize revenue
Reviews revenue-related dashboards and reports to identify trends, risks, and opportunities at the site or regional level
Prepares summary reports for Operations and Finance leadership, highlighting key issues, resolutions, and outstanding risks
Works with Billing Vendor and Finance to ensure cash payment posting is completed in an accurate and timely manner
Supports ad hoc data requests related to revenue performance and workflow improvement
Provides ongoing education and coaching to clinic teams on revenue cycle, related workflows, and best practices
Supports onboarding and training for new clinic staff related to registration, eligibility, and revenue-sensitive processes
Assists with the implementation of new workflows, systems, or payer requirements impacting revenue cycle operations
Partners with Compliance and Finance teams to support audit readiness related to billing, documentation, and front-end processes
Assists with corrective action plans resulting from audits, OSVs, or internal reviews
Ensures revenue cycle practices align with HRSA Health Center Program requirements, Medi-Cal, Medicare, and payer contracts
Collaborates closely with Clinic Operations, Enrollment, Access, Quality, IT, and Compliance teams
Serves as a resource for Center Directors and site leadership related to revenue cycle questions and escalations
Collaborates in a strong partnership with the Deputy Director of the Health Centers, Practice Managers, and Front-end teams
Collaborates regularly with Information Systems to prioritize, manage, resolve, and implement JIRAs
Participates in meetings, workgroups, and improvement initiatives as assigned
Documents issues, resolutions, and process changes to support transparency and continuous improvement
Performs other duties as assigned to support organizational revenue integrity and sustainability