As the process manager/coordinator of the PUBS Liaison Team, the incumbent assists and supports the AVP/Director and Associate Directors in optimally performing their role as liaisons with clinical practice leadership to meet the primary goal of optimum reimbursement for services rendered by the clinical practices. Divided among the three Associate Directors are 17+ individual practices with 450+ physicians and $215 million gross charges yearly. In addition, providing support to two multidisciplinary satellites and various acquired practices is included in the team's responsibilities.
PUBS Liaison Team's essential focus is providing individualized attention and specific billing operations management to the practices and building practice leadership trust in PUBS, ensuring the billing service performs optimally. The incumbent will coordinate the myriad of details involved, as well as providing some of the individualized attention. The incumbent must therefore develop relationships with all of the practices served by the three Associate Directors, as well as with other hospital departments that provide services to the clinical practices: Managed Care, Office of Compliance and Reimbursement, IS, etc.
The incumbent uses highly developed skills, including data analysis, DBMS/SQL, spreadsheet, presentation, IDX dictionary maintenance, in researching/analyzing/documenting/reporting financial, practice and regulatory data in revenue analysis and practice trend projects, as well as identifying and communicating opportunities to maximize and increase revenue retrieval for the hospital.
In support of day-to-day functioning, the incumbent requires in-depth understanding of the physician practice revenue cycle, of today's intricate and complex healthcare market, and of all regulatory and compliance issues involved, as well as excellent technical knowledge of and proficiency with the computer system in use and PUBS's operational processes.
Functioning as back up to the Associate Directors, similar qualities are required of the incumbent: flexibility, versatility, complex problem-solving skills, orientation to detail, and ability to grasp the big picture of processes and reimbursement issues and of all the complex interrelationships involved in the physician revenue billing cycle.
These functions are performed in accordance with all applicable laws and regulations and MedStar Georgetown University Hospital's philosophy, policies, procedures, and standards.
- Bachelor's degree.
- Minimum five years of medical practice billing experience, IDX environment.
- Medical practice front-end experience and understanding preferred.
- Excellent oral communication skills preferred, but not required.
- Excellent written communication skills.
- Proficiency with Microsoft Office application, particularly Excel and Access. DBMS/SQL. IDX dictionary maintenance.
- Report production and presentation skills.
- Excellent interpersonal skills.
- Highly developed customer service skills.
Ability to relate well to physicians and other front office administrators and staff, as well as with back office billing management and staff.
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation and research. Our 30,000 associates and 5,400 affiliated physicians work in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest visiting nurse association in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar is dedicated not only to teaching the next generation of doctors, but also to the continuing education and professional development of our whole team. MedStar Health offers diverse opportunities for career advancement and personal fulfillment.
MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations.
A qualified individual with a disability will be considered for employment on the same basis as non- disabled applicants if he/she can perform the essential functions of the job sought, with or without a reasonable accommodation, and without imposing a direct threat to the health or safety of others or him/herself.