Liaison Jobs

About The Position

Requirements

• High school graduate or equivalent required.
• 5 years’ prior experience in a healthcare environment.
• Experience working accurately under time pressures
• Experience anticipating end users’ problems.
• Intermediate knowledge of and experience utilizing a personal computer
• Intermediate word processing and spreadsheet skills.
• Basic knowledge of database software or willingness to attain such within 6 months of hire.

Nice To Haves

• Bachelors Degree Preferred.

Responsibilities

• Handles enrollment information for Medicare and Medicaid to ensure the highest level of accuracy.
• Completes enrollment process including provider enrollment activities by completing applications for all Medicare and Medicaid, including tracking of such applications until the provider numbers are issued.
• Works with Insurance Processing Unit departments in Billing and Collections by working Departmental requests on provider issue denials.
• Works with payors on changes, such as address changes to both physical location and payment address, name changes, etc.
• Responsible for creation of Professional Billing Spreadsheet and forwards to EPIC PB Team of all new physicians and allied health professionals being issued privileges, as well as changes to existing physicians/allied health professionals entry providers once privileges are issued/changed or terminated. Authorizes any updates to the provider professional billing record in EPIC.
• Coordinates leased professional providers in collaboration with Legal, HR and Clinical Staff Offices to allow for timely enrollment in all health care plans contracts, to enable to the Health System to bill and collect professional services on their behalf.
• Approves all entries to the provider professional billing record in EPIC.
• Collaborates on provider related claim denials and acts as liaison between payor until resolve and claim reprocessed and paid.
• Assists with payor transparency by communicating to payor any discrepancies between payor and enrollment information.
• Responsible for reaching out to physicians and allied health professionals directly to obtain access via the CMS PECOS portal to obtain access to act on their behalf for Medicare enrollment and NPI updates via the NPPES portal.
• Responsible for updating and entry of all physician and allied health professional credentialing information into the Symplr provider database shared with the CSO to include practice address information.
• Assist with projects related to new practice locations to include relocation and changes for such. Including working with project manager on EPIC information, updating of Symplr, notification of new location, change, etc. to Medicare/Medicaid/Department of Defense and managed care companies.
• Maintains confidentiality of credentialing and enrollment information.
• Provides backup coverage to the others on the enrollment team.
• In addition to above job responsibilities, other duties may be assigned.

Benefits

• Medical, Dental, and Vision Insurance
• Paid Time Off
• Long-term and Short-term Disability
• Retirement Savings
• Health Saving Plans
• Flexible Spending Accounts
• Certification and education support
• Generous Paid Time Off