Professional Revenue Liaison

At Lucile Packard Children's Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.

Job ID: LP_00025648-2652914

JOB SUMMARY

This paragraph summarizes the general nature, level and purpose of the job.

This role is designed to simplify communication with providers, the Stanford School of Medicine, and practice administrators about all things related to professional revenue, including best practices, financial performance, and important updates. The liaison serves as the single point-of-contact for all questions and issues related to Professional Revenue Cycle (e.g., coding, charge capture, billing, reimbursement, denials, patient financial clearance, reporting, etc.) from internal stakeholders, including physicians, providers, practice managers, administrators, and executives. The liaison engages subject matter experts in each respective area to provide answers for complicated questions or those outside their personal the scope of knowledge and delivers answers to requestors in a timely and professional manner, ensuring communication is tailored to the audience.

ESSENTIAL FUNCTIONS

The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.

Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.

Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct.

* Provide direct feedback/ answers to internal stakeholder questions about current/ past professional revenue cycle activities via virtual or in-person meeting

* Coordinate with subject matter experts to determine answers to complex questions

* Responsible for the delivery of direct training/ reporting/ feedback to Departments/ Practices in monthly meetings

* Collaborate with colleagues within revenue cycle and across Stanford Children's Health to improve workflows and financial outcomes and make recommendation to policy and procedures.

* Participate with departmental staff on process improvement projects

* Maintain a current knowledge of Revenue Cycle operations, issues and/ or changes in functionality, including planned or in-flight workflow changes

* Navigate electronic health record (Epic EHR) to validate documentation, workflows, and issues raised through internal stakeholder queries

* Document correspondence to identify trends, issues, and other opportunities for improvement

* In coordination with subject matter experts design and develop tools, tip sheets, reports, dashboards, or other deliverables to facilitate timely, self-service, sustainable, and consistent access to best practice information

* Communicate efficiently with a variety of professionals to build effective working relationship, including physicians, and other healthcare provides, business administrators and managers, billing and revenue cycle.

* Exercises discretion and independent judgement to respond to complex inquiry coding, charge capture, billing, reimbursement, denials, patient financial clearance, reporting, etc.

* Develop training and independently conduct training to clinical care providers.

* Use critical thinking skills, to independently resolve complex issues and billing questions with high stakeholders

* Maintain relevant knowledge of health policy, insurance payment practices and government relations

* Perform other duties as assigned

MINIMUM QUALIFICATIONS

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

* Education: High school diploma or equivalent required.

* Experience: Four (4) years of progressively responsible and directly related work experience, preferably in a professional healthcare delivery setting

* License/Certification: N/A

KNOWLEDGE

These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification.

* Knowledge of professional revenue cycle processes, standards, and best practices

* Knowledge of medical terminology and coding

* Ability to communicate effectively through written and verbal methods,

* Ability to organize, interpret, and draw insights from data; identify opportunities to improve processes and procedures based on data; assist in maintaining reporting accuracy and effectiveness..

* Ability to navigate and interpret medical care documentation presented in an electronic health record (experience with Epic EHR highly preferred)

* Ability to resolve conflicts and/or negotiate with others to achieve positive results; establish and maintain effective interpersonal relationships.

* Ability to understand, interpret and apply complex federal and state hospital compliance laws, rules, regulations and guidelines.

* Ability to work effectively with individuals at all levels of the organization.

* Knowledge of U.S. healthcare financial processes and standards, including the conventions for billing and reimbursement of healthcare services by commercial, government, and personal sources.

* Knowledge of hospital operations, organization, systems and procedures and laws and regulations pertaining to the operation of hospitals and medical groups in California.

PHYSICAL REQUIREMENTS

The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.

Pay Range

Compensation is based on the level and requirements of the role.

Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data.

Typically, new team members join at the minimum to mid salary range.

Minimum to Midpoint Range (Hourly): $29.90 to $39.59

Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.