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Professional Billing Practice Liaison

Company: Cone Health
Location: Greensboro
Posted on: November 17, 2021

Job Description:

Overview Acts as a liaison between Central Business Office and professional billing sites. Responsible for building relationships with leadership of CBO and provider sites to accomplish established goals of organization, as related to revenue cycle outcomes. Must have a thorough knowledge of revenue cycle and clinic operations to readily identify trends and workflows that are impacting successful revenue outcomes. Must have a high level of integrity and be able to prioritize workload. Responsibilities Clinic Support- Coordinates with all professional fee billed sites (MD offices, clinics and other programs) billed through Cone HealthLink as to the appropriate entry of visit registration, payer designation and charge entry. - Schedules routine site visits to support in the resolution of any issues end users may be encountering as related to PB revenue cycle functions- Serves as a resource to practices for educating staff on accurate and appropriate revenue cycle workflows in coordination with PB Instructional Designer and education team- Provide documentation of site visits and findings to clinic and Pro Fee Revenue Cycle leadership- Responsible for the follow-up of revenue cycle related issues and communicating resolution of issue to sites- Responsible for promoting a positive attitude amongst end users and CBO staff members--------------------------------------------------Pro Fee Business Office Support- Acts as a liaison between practices and Central Billing Office leadership to identify and resolve issues related to claim processing, claim payments and denial resolution as related to workflows in clinics that can be improved for better revenue cycle outcomes- Communicates IT system issues to Central Business Office leadership and Information Systems to be added to Task Force Agenda Items and Project List. Serve as resource to IT teams for tracking and testing system ?fixes? to these reported issues- Participates in resolving difficult account matters and/or customer staff situations by analytically applying the health system policy and procedures. - Reviews end users issues, workflow problems and provide updates to team leaders of identified issues and trends.- Assist end users with questions regarding resolution of errors in workqueues- Prepares variances reports as needed, implementing changes in order to eliminate ongoing variances--------------------------------------------------Training- Work in coordination with PB Instructional designer to provide instruction to end users as needed when identified user performance is hindering successful revenue cycle flow- Perform as Super User for Prof Fee Revenue Cycle initiatives when additional elbow support is needed in clinics to accomplish initiative rollouts --------------------------------------------------Communication- Provides communication to Central Business Office leadership regarding identified trends that need to be resolved to ensure optimal revenue cycle outcomes.- Provides communication to clinics regarding changes in processes, system workflows or other items that pertain to revenue cycle functions- Keeps applicable teams and team members involved in any changes that may affect workflow or revenue cycle outcomes.--------------------------------------------------Compliance- Maintain current working knowledge of changes in health care reimbursements. - Attends seminars and weekly staff meetings.- Follows all Corporate Compliance Rules and Regulations. - Follows all HIPAA regulations without exception.-------------------------------------------------- Qualifications EDUCATION:Associates, Required in Business Administration, Accounting, Healthcare or related fieldBachelors, Preferred EXPERIENCE:3 years? experience working in Professional Fee Billing Environment and Physician Practice Operation, Required5+ years' experience in Professional Fee Billing Environment or Physician Practice Operations, Preferred LICENSURE/CERTIFICATION/REGISTRY/LISTING:REQUIREDRequired: EPIC Proficient, Credentialed, or Certification in Cadence, Prelude or PB Resolute within 1 year of hirePREFERREDPreferred: EPIC credentialed or Certified in PB Resolute, Cadence or Prelude upon hire Responsibilities Clinic Support - Coordinates with all professional fee billed sites (MD offices, clinics and other programs) billed through Cone HealthLink as to the appropriate entry of visit registration, payer designation and charge entry. - Schedules routine site visits to support in the resolution of any issues end users may be encountering as related to PB revenue cycle functions - Serves as a resource to practices for educating staff on accurate and appropriate revenue cycle workflows in coordination with PB Instructional Designer and education team - Provide documentation of site visits and findings to clinic and Pro Fee Revenue Cycle leadership - Responsible for the follow-up of revenue cycle related issues and communicating resolution of issue to sites - Responsible for promoting a positive attitude amongst end users and CBO staff members -------------------------------------------------- Pro Fee Business Office Support - Acts as a liaison between practices and Central Billing Office leadership to identify and resolve issues related to claim processing, claim payments and denial resolution as related to workflows in clinics that can be improved for better revenue cycle outcomes - Communicates IT system issues to Central Business Office leadership and Information Systems to be added to Task Force Agenda Items and Project List. Serve as resource to IT teams for tracking and testing system ?fixes? to these reported issues - Participates in resolving difficult account matters and/or customer staff situations by analytically applying the health system policy and procedures. - Reviews end users issues, workflow problems and provide updates to team leaders of identified issues and trends. - Assist end users with questions regarding resolution of errors in workqueues - Prepares variances reports as needed, implementing changes in order to eliminate ongoing variances -------------------------------------------------- Training - Work in coordination with PB Instructional designer to provide instruction to end users as needed when identified user performance is hindering successful revenue cycle flow - Perform as Super User for Prof Fee Revenue Cycle initiatives when additional elbow support is needed in clinics to accomplish initiative rollouts -------------------------------------------------- Communication - Provides communication to Central Business Office leadership regarding identified trends that need to be resolved to ensure optimal revenue cycle outcomes. - Provides communication to clinics regarding changes in processes, system workflows or other items that pertain to revenue cycle functions - Keeps applicable teams and team members involved in any changes that may affect workflow or revenue cycle outcomes. -------------------------------------------------- Compliance - Maintain current working knowledge of changes in health care reimbursements. - Attends seminars and weekly staff meetings. - Follows all Corporate Compliance Rules and Regulations. - Follows all HIPAA regulations without exception. --------------------------------------------------

Keywords: Cone Health, Greensboro , Professional Billing Practice Liaison, Accounting, Auditing , Greensboro, North Carolina

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