Revenue Cycle Liaison

Location

University, MO | United States

Job description

Responsibilities

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.

To learn more about IPM visit Physician Services - Independence Physician Management - UHS .

Position Overview

The Revenue Cycle Analyst plays a pivotal role in working with IPM Market Leadership to drive consistency in ‘front-end’ workflows and business processes that will help the Market maximize revenue along with enhanced patient satisfaction. The Revenue Cycle Specialist is an extension of the IPM Central Billing Office (CBO) but is embedded in the IPM Market to assist with specific tasks that will enhance the overall revenue cycle continuum. The Revenue Cycle Specialist strives to improve and accelerate revenue cycle processes to achieve higher productivity, faster payments, decreased rework and improved patient service by working with leadership and staff to promote best practices throughout IPM. Specific workflows will be trained and enforced along with daily/weekly/monthly metrics to help determine the overall “health” of the [front end] revenue cycle. Metrics such as eligibility verification, registration accuracy, encounters without charges, charge lag, denials, and TOS/NTOS collections will be captured, shared and trended. The Revenue Cycle Specialist is a visible presence in each IPM Market and they work closely with each other as well as the IPM CBO to ensure consistency in process and best practice across all of IPM.

Duties and Responsibilities:

• Acts as a liaison between the Central Billing Office (CBO) and the practices on front-end billing operations, reimbursement trends and basic training needs. Meets with each practice (leadership) at least monthly to review month-end reports. Recommends enhancements and implements action plans in collaboration with practice management to improve cash collections, reduce charge lag, improve registration accuracy and decrease front-end denials
• Monitors daily/weekly/monthly performance of front-end billing functions/tasks to ensure compliance with revenue related goals. Escalates any negative trends to the appropriate staff. Discusses trends with local leadership to help identify root causes and collaboratively develops action plans to improve results
• Pro-actively identifies, troubleshoots and resolves front-end revenue relates issues or barriers to maximizing revenue. Listens to feedback and recommendations from the practices and champions change to existing workflows and system processes on behalf of all IPM Markets. Lobbies and advocates on behalf of the practices to improve communication, team work and overall results. Actively participates in CBO meetings to share market-based initiatives, best practices and barriers so that issues are communicated and resolved in a holistic approach versus silos
• Responsible for facilitating/onboarding specific revenue cycle processes in new IPM practices as well as IPM practice leadership. Participates in pre-acquisition meetings to ensure revenue cycle processes are addressed. Provides any needed support during the acclimation period. Actively participates in any post go-live meetings
• Works collaboratively with the EMR Specialists to ensure consistent and coherent processes that involve charge capture within the EMR and the impact to charges transferring to the practice management system. Assists (along with the CBO) with resolving suspended charges when caused by ‘front-end’ or EMR related issues

Associates Degree or approved equivalent combination of coursework and related experience or extensive related experience is required.  Bachelor’s degree preferred.

• Healthcare (professional) billing, broad knowledge of CPT/CD-10 coding, claim submission requirements and other related industry terminology and practical use.  Knowledge of registration data requirements and health plan payors.  Thorough understanding of the revenue cycle and how the various components work together.
• 3-5 years' minimum experience working in a healthcare (professional) billing, health insurance or equivalent operations work environment.  Work experience in a client facing position, project management experience and/or customer service highly desirable
• Local travel to market based practices required at a minimum of 75%

As an IPM employee you will be part of a first-class organization offering:

• A Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match
• Tuition Reimbursement

Independence Shared Services is not accepting unsolicited assistance from search firms for this employment opportunity.  Please, no phone calls or emails.  All resumes submitted by search firms to any employee via email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Independence Shared Services.  No fee will be paid in the event the candidate is hired as a result of the referral or through other means.

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. om

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: or 1-800-852- 3449.

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