RCM Support Services Liaison

Job Details

Description

Axia Women's Health is the nation’s largest community-based, integrated women's health network in the country serving women throughout New Jersey, Pennsylvania, Indiana, and Kentucky. At its core, Axia Women’s Health is a community of over 400 providers across nearly 150 locations committed to providing a more caring, connected, and progressive health care experience for women. Its rapidly growing network spans OB/GYN care, breast health, high-risk pregnancy care, urogynecology care, behavioral health, and fertility. Together, Axia Women's Health puts women first by delivering the personalized care needed for women to lead healthier, happier lives. Axia Women’s Health has been recognized as the #1 Physician Practice for Women’s Health by Castle Connolly and certified as a Great Place to Work for five consecutive years. Learn more at www.axiawh.com.

The RCM Support Services Liaison is a position that represents the best of Axia – kindness, professionalism, effectiveness in solving problems for patients and the Care Centers who serve them. The RCM Support Services Liaison is also responsible for coordinating, monitoring, and maintaining tasks related to vendor management related to payor enrollment, credentialing, and patient services support. The Support Services Liaison will work under the supervision of the Support Services Manager. This position requires knowledge of Axia billing, collections, cash management, and working with payors.

Payor Enrollment and Credentialing

• Main point of contact for all contracted payor relationships and attend payor meetings as required.
• Collect requirements for payor audits, work with vendor to help provide support during the audit process and submit audits to payors.
• Participate in vendor meetings as required.
• Support the completion of provider profiles by monitoring the credentialing platform and working with the appropriate care center manager to ensure all required documentation is received and uploaded in the credentialing platform for providers.
• Coordinate the maintenance and enhancements of the Credentialing database.
• Provide timely offboarding of providers with payors when a provider has left the organization.
• Coordinate with vendor to ensure group and provider revalidation notifications are provided to vendor.
• Review and submit provider rosters to payors when requested.
• Upload renewed documents into the provider profile on the credentialing platform.
• Conduct periodic review of payor directories to ensure provider information is correct and attest when required.
• Responsible for adding new practice location information to the credentialing platform and request demographic changes with the vendor.
• Notifies vendor when care centers close, or a provider has left a location.
• Monitors lockbox correspondence and takes appropriate action.
• Lab CLIA renewal updates with payors.
• Ensure annual Certificate of Insurance documents are received and uploaded in credentialing platform.
• Performs other duties/special projects as assigned/necessary.
  
  

Patient Services:

• Knowledge of the full Revenue Cycle Management processes including insurance verification and eligibility, insurance billing, claims processing, an understanding of explanation of benefits, coding, HIPAA, and patient billing (deductibles, co-payments, and co-insurance).
• Strong understanding of clearing house and basic finance operations.
• Participate in vendor meetings as required.
• Experience with various billing systems, claim reviews process and working to resolve denials. In-depth knowledge of eCW preferred but not required.
• Review and resolve claims or questions that are escalated from the vendor.
• Serve as a point of contact for the vendor for issues related to patient billing or claims processing.
• Performs other duties/special projects as assigned/necessary.
  
  

Education and Experience:

• High school diploma or a general equivalency diploma (GED)
• Some college or equivalent experience preferred.
  
  

The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

Full Time Benefits Summary

• Full time benefit-eligibility beginning the first of the month after hire
• 401(k) with company match
• Generous PTO offering with additional time off for volunteering
• Choice of multiple medical insurance plans to best meet your needs
• Access to Axia providers at little to no cost through Axia’s medical insurance
• Axia-paid life insurance, short term and long term disability
• Free counseling for colleagues and family members, including parents and parents-in-law
• Access to discount on Hotels, Theme Parks, Gym Memberships, and more through the Great Works Perks Program
• Additional insurance options including dental, vision, supplemental life insurance, FSA, HSA w/ employer contribution, identity theft, long term care, pet insurance and more!
  
  

At Axia Women’s Health, we’re passionate about creating a community where our colleagues and patients feel empowered to be their full, authentic selves. We welcome all individuals – without regards to gender, race, ethnicity, ability, or sexual orientation – and proudly celebrate our individual experiences and differences.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. Applicants must be currently authorized to work in the United States on a full-time basis.