reliable and essential contact point with key stakeholders. The Liaison is proactive, and data driven. They monitor performance, analyze results, and provide actionable information and recommendations to their customers.
The Revenue Quality Liaison will have a primary focus on improving avoidable write-offs at the AMC Ann Arbor, UMH Sparrow and UMH West.
The Revenue Cycle Liaison acts under the oversight of the Senior Director for Revenue Cycle Services and reports to the Director of the Revenue Quality Liaison team.
- Analyzes patterns and trends for avoidable write-offs that are focused on front-line and clinical workflows.
- Acts as a Revenue Cycle Project Manager for New Programs and Services
- Conducts in-depth root cause analysis and summarizes detailed findings for leadership presentations.
- Investigates mitigation strategies and proposes workflow, education, and technology related solutions to address systemic root cause.
- Leads projects to reduce Avoidable write offs for the AMC, UMH Sparrow and UMH West
- Facilitates stakeholder meetings.
- Conducts high-level problem solving with a focus on revenue, compliance, and operational impacts.
- Provides operational guidance to clinical operations and revenue cycle
- Monitors performance and summarizes quantitative and qualitative data to leadership.
- Works collaboratively and creates partnerships with clinical and revenue cycle stakeholders.
- Works with payers regarding policy changes or mishandling of claims that lead to write offs.
- Provides education to clinical areas to improve outcomes on workflow, payers, and process issues to mitigate write offs.
- Leverages technology and software tools to manage and track progress.
- Partners with Regional IT to implement Epic build changes, functionality, and new workflows.
- Partners with all Revenue Cycle operational divisions including Preservice, Mid-Service, Post-Service and Compliance as well as colleagues in Revenue Cycle Services.
- Creates strong regional partnerships.
5-8 years of project management, management, lead roles in process improvements or related experience in a revenue cycle operational area or health care industry setting
Bachelors degree in health care, business or equivalent combination of education and experience
Strong leadership and interpersonal skills required
Advanced knowledge of clinical operations and revenue cycle operations with ability to translate information
Advanced knowledge in payer reimbursement and compliance guidelines
Excellent communication skills, demonstrated ability to communicate clear, concise, and accurate information both verbally and in writing
Proven ability to solve problems creatively
Advanced knowledge of Epic clinical and revenue applications, reports, and system capabilities
Demonstrated ability to create project plans, complete projects according to outlined scope and timeline
Strong customer service skills
Demonstrated ability creating SBARs, power point slides, root cause analysis including recommendations and outcomes.
Ability to lead meetings.
Ability to establish and nurture beneficial business relationships.
Self-motivated with a willingness to take initiative and solve complex problems
Capability to negotiate with and influence others
Strong analytical skills including demonstrated experience using Slicer Dicer and other reporting tools.
Ability to thrive in a demanding, high-pressure environment.
Flexibility, innovation, and creativity are necessary characteristics
Desire to continuously learn and apply new improvement methodologies, and to spread successful innovation through the institution.
In-depth knowledge of hospital and professional billing processes including payer behavior
Coding Certification
Project Management experience
Coding knowledge/experience with a variety of departments including Surgical Specialties, Pediatric Specialties, OBGYN and Emergency Departments
Experience with Tableau dashboards.
This position may be under filled at a lower classification depending on the qualifications/experience level of the selected candidate.
