Physician Services Billing Liaison

Overview

Halifax Health is seeking a Billing Liaison for the PBFS - Physician Services Department.

Summary

The Physician Services Billing Liaison is responsible for ensuring the overall success of the assigned offices billing activities. This position acts as a liaison between the Central Billing Office (CBO) and the assigned offices on-site staff. The position also acts as a bridge regarding Athena-specific technology concerns and the Central Billing Office processes. The liaison also assists with requests from the Ambulatory Informatics staff, Physician CBO Team Leads and others. The Liaison is an advanced Athena Collections user and assists in resolving problems and ensuring compliance with PBFS policies and procedures. The liaison also meets monthly with the assigned office leadership staff to share specific metrics related to billing and collection activities, and helps to identify opportunities for success.

Job Qualifications

Education and Training:

• At least 2 years of experience with a Bachelor's degree or relevant certification from accredited institution required. Can be supplemented with 7 years of healthcare experience.
• HFMA CRCR credential required.

Job Duties and Responsibilities

Essential Functions and Responsibilities:

• Serves as the go-to billing expert for specific payer policies and requirements based on prior experience, including but not limited to referrals, pre-authorizations, and medical documentation required by payers to adjudicate claims

• Takes an active role in accelerating collections by driving the clean claim rate above 95% and decreasing days in Accounts Receivable to less than 33 days by providing feedback to management regarding processes/policies that may need revision to reduce future payer denials

• Works with Accounts Payable to issue patient and insurance related refunds

• Learns advanced Athena functionality to assist as a liaison between front desk processes and the external billing team

• Coordinates and schedules training session's specific to the assigned offices billing needs and requirements.

• Continues to monitor and understand ever-changing payer policies and provide input to management and the external billing team

• Facilitates the Communication with patients to correct insurance, demographic, and coordination of benefit issues when necessary

• Works to resolve patient billing complaints escalated by the external Billing & Collections department

• Reviews ineligible worklists in Athena to correct patient insurance information prior to the patients' appointment

• Assists in the on-site staff onboarding process related to billing process training and expectations. This will include assisting with new service implementations and the coordination of communication and training to physician office and hospital-based staff.

• Assists in maintaining positive working relationships between the PBFS department the assigned physician office locations.

• Assists with provider enrollments for the Halifax Behavioral Center

• Completes other special projects or tasks as assigned

The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.

Skills:

• Customer-service oriented; able to effectively communicate and build relationships with staff members at all levels in the organization.

• Able to manage multiple projects.

Self-motivated.

• Proficiency in creating training materials and documentation.

• Ability to transfer knowledge to clients with diverse cultural backgrounds, educational experiences, and learning styles.

• Team oriented work ethics.

Other Requirements and Specifications

• Completion of the Claims Processor II Written Exam with 90% or higher

• Completion of the Claims Processor II Practical Exam with 90% or higher

• Completion of the assigned training modules

• Completion of Excel Exam

• Completion of Analytics Super User Level 1 Test

• Completion of Analytics Super User Level 2 Test

• Completion of Physician Services Coordinator Exam

• Not more than 1 infraction within the year

• Maintain 3.0 annual evaluation score

• Ability to train others

• Understands intermediate to advanced excel functions

Working Conditions

• The individual will spend most of their time in air-conditioned facilities with minimal exposure to excessive humidity or noise.

The position will involve periodic travel to off-site physician office locations.

About Us

Recognized as one of the 50 Top Cardiovascular Hospitals in the United States by IBM Watson Health, Halifax Health serves Volusia and Flagler counties, providing a continuum of health care services through a network of organizations including a tertiary hospital, two community hospitals, urgent care clinics, psychiatric services, a cancer treatment center with five outreach locations, the area's largest hospice, a center for inpatient rehabilitation, outpatient rehabilitation clinics, primary care walk-in clinics, a clinic specializing in women's health, a pediatric care community clinic, five pediatric medical practices, a home health care agency and an exclusive provider organization. Halifax Health offers the area's only Level II Trauma Center, Thrombectomy-Capable Stroke Center (TSC), Center for Transplant Services, Pediatric Intensive Care Unit, Child and Adolescent Behavioral Services, complete Neurosurgical Services, OB Emergency Department and Level III Neonatal Intensive Care Unit that cares for babies born earlier than 28 weeks. For more information, visit halifaxhealth.org.