Revenue Cycle Liaison

We are seeking Revenue Cycle Liaison to serve as the primary intermediary between a company’s billing department, clients, and other stakeholders such as an outsourced billing entity. They streamline the revenue cycle by resolving billing disputes, ensuring accurate invoicing, correcting discrepancies, and answering patient or client inquiries. The Revenue Cycle Liaison also manages the Sliding Fee program and performs insurance enrollment for CHC providers.

a. Intermediary Communication:
Act as the bridge between CHC sites and the Central Billing Office (CBO) to align revenue goals.

b. Investigate and resolve billing discrepancies, undercharges, or overcharges with patients, clients, and insurance companies.

c. Review end-of-day charge reports, monitor for errors, and generate billing reports.

d. Educate internal staff on proper revenue cycle workflows and ensure they understand up-to-date payer or Medicare billing

e. Generates quarterly credit balance reports for Medicare and Medicaid.

f. Update patient accounts with correct insurance

g. Maintains organized records of EOB’s, correspondence with insurance companies, Medicare, and Medicaid remittances, etc.

h. Communicates in conjunction with the CBO with insurance companies, clearinghouse, and software vendors and disseminates information regarding contract/fee schedule changes, regulation changes, billing, collections, A/R, reimbursement, etc. to leadership and other team members as appropriate.

2. Provider Insurance Enrollment (Credentialing)

a. Completes enrollment process for providers to participate with 3rd party insurance companies that CHC contracts with.

b. Ensures timely and accurate enrollment with NC Tracks for all CHC providers

c. Ensures timely and accurate enrollment with PECOS for all CHC providers

d. Manages CAQH profiles for all CHC providers

e. Ensures timely communication and response to all requests for information from payors

3. Accounts Receivables

a. Appropriately responds to patient inquiries and requests pertaining to billing.

b. Discuss bad debts with patients and develop a payment plan.

c. Prepares file for patient statements and submits to Clearinghouse

d. Posts payments, as needed

e. Works aged accounts to determine cause; takes appropriate action

f. Performs bad debt write off, at the direction of department leadership and according to company policies.

g. Research refunds and process for payment.

4. Administrative Duties

b. Prepares outgoing mail and distributes incoming mail.

c. Runs daily errands such as bank, Post Office, etc.

d. Generates reports (month end, fiscal year end, UDS, and other reports as needed).

5. Sliding Fee

a. Explains Sliding Fee program to patients and assists patients with enrollment process for Sliding Fee program.

b. Ensures appropriate discount category is correctly entered in the patient’s medical record, after approval of S/F application.

c. Verifies sliding fee adjustments are correctly applied to patient accounts

d. Corresponds with patients as needed, prepares and sends letters for S/F renewals.

e. Maintains records for Sliding Fee program.

Professional & Technical Knowledge:

· Possesses work-related skills at a higher level than completion of high school, including formal written and verbal communications skills, computational and computer skills, mathematical, technical or [industry] related knowledge frequently acquired through completion of a trade school, para-professional, or certificate type program.

· Is expected to learn and maintain higher level skills of the trade/profession, in addition to the basic training of the trade/profession.

Continuing

Education:

· Maintains current knowledge of coding, insurance regulations, insurance claims…