Healthcare Revenue Cycle Liaison
CU Medicine is dedicated to providing healthcare and administrative support to the University Of Colorado School Of Medicine’s nearly 3,000 providers and is affiliated with the leading medical institutions in the West. Located adjacent to the Anschutz Medical Campus, one of the largest and most advanced academic medical campuses in the country, CU Medicine offers a variety of administrative, technical and healthcare support career opportunities and serves as a resource for patients and physicians.
We are seeking a highly motivated Revenue Cycle Liaison to join our team.
The Revenue Cycle Liaison is responsible for providing comprehensive analysis of billing and collection (B&C), charge capture, and coding trends for assigned departments, divisions, and related clinical specialties’ within the CU School of Medicine (SOM). The individual in this position will provide consistent monitoring, reporting, and communication of department-specific trends and related effects on overall revenue cycle performance. The Liaison will serve as the key representative between CU Medicine business office functions, SOM department/division physicians and administrators, and all other stakeholders (e.g., front-end hospital operations) to proactively identify opportunities and assist in the resolution of issues. The goal of the Liaison will be to maximize reimbursement in a cost-effective manner and comply with federal, state, and payor-specific billing requirements. Duties include but are not limited to:
- Collaborate with the CU Medicine business intelligence team to prepare, assemble, and analyze standard revenue cycle reports for assigned SOM departments/divisions.
- Facilitate regular meetings with assigned SOM department/division administrators to discuss financial and revenue cycle performance metrics (e.g., A/R figures, write-offs, collection rates), key trends (e.g., rejection patterns, payor mix shifts), reimbursement opportunities (e.g., reduction of front-end related denials, identified coding opportunities), and other relevant topics.
- Compile and distribute post-meeting minutes and action items. Address follow-up items identified in monthly SOM department meetings.
- Respond to questions from SOM department leadership related to B&C activities with direct impact on provider productivity and clinical income and when appropriate, coordinate issues across hospital and SOM stakeholders.
- Assist physicians and other stakeholders in bringing patient- and invoice-specific complaints to positive resolution. Communicate the status and final resolution to SOM department management with simultaneous recommendations for future optimization.
- Review and analyze financial performance and trends (e.g., A/R figures, write-offs, collection rates) for presentation at regular SOM department/division administrator meetings and proactive issues management.
- Audit allowance write-offs to control losses due to errors and maintain integrity in the tracking mechanism that ensures reliable reporting of controllable and uncontrollable impacts to revenue.
- Collaboratively review internal systems, processes, and procedures for business operation optimization opportunities.
- Maintain an in-depth knowledge of federal, state, and all third-party insurance policies, practices, and procedures. Continuously monitor, educate, and implement changes to government and payor-specific policies and overall revenue cycle.
- Analyze front-end-related trends, proposing recommendations to decrease ongoing deficiencies. Subsequently, work collaboratively with front-end stakeholders to reduce actions that impact insurance, registration, billing, claims, reimbursement, coding, and collections performance.
- Analyze and prepare SOM department/division findings related to rejection patterns for the CU Medicine directors of patient accounts and fee coordination. Provide recommendations to positively impact the SOM department and broader CU Medicine business unit.
- Assist with special projects and perform other duties as assigned
Requires a bachelor’s degree, preferably in business or healthcare management, and a minimum of 5 years direct responsibility in physician practice management, or a senior-level position with professional fee B&C responsibilities. Master’s degree is highly preferred. Alternatively, 8 years of direct relevant healthcare and high profile physician B&C responsibilities may be considered in lieu of the advanced degree. Must have or obtain a Certified Professional Coder (CPC) certification within 6 months of hire and maintain it throughout employment in the position. Advanced working knowledge of ICD-10 and CPT-4 coding requirements and medical insurance terminology for federal and state programs is required. Must also demonstrate advanced working knowledge of physician reimbursement and payor contract analysis with the ability to request and/or run, interpret, analyze, and provide information obtained from all CU MEDICINE financial reporting. High level proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint is required. Working knowledge of GE Centricity Business and Epic is preferred. Strong mathematical and analytics skills are essential, including the ability to accurately request reports from the CU MEDICINE data analytics team. Outstanding communication, clerical, and organizational skills are key to success.
All applications MUST be submitted via our website.
CU Medicine is dedicated to ensuring a safe and secure environment for our staff and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees prior to their employment. Additionally, drug and health screenings may be required for some positions. We are an equal opportunity employer.
CU Medicine supports a Tobacco Free Workplace Environment which prohibits smoking and the use of tobacco products on CU Medicine property, Anschutz Medical Campus and adjacent business locations.
- Pay Type Salary
- University of Colorado Medicine, AURORA, Colorado, United States of America