Dental Revenue Cycle Liaison
Public Health Management Corporation · Philadelphia, PA · 3 wk ago
On-siteHealthcareFull-time
Responsibilities
- Revenue Cycle Coordination & Issue Resolution
- Serves as the primary liaison between clinic operations and centralized billing teams.
- Tracks, escalates, and resolves site-level front-end revenue cycle issues.
- Facilitates timely communication between clinic leadership and billing to ensure issues are addressed and closed.
- Supports root-cause analysis of recurring revenue cycle issues and partners on corrective action plans.
- Front-End Revenue Integrity
- Supports clinic teams in maintaining accurate patient registration, insurance verification, eligibility confirmation, self-pay, and sliding fee discount compliance.
- Maintains monitoring of front-end workflows that impact billing accuracy and reimbursement.
- Reinforces standard operating procedures for front-desk, enrollment, and clinic support staff.
- Partners with Enrollment and site teams to address coverage gaps and payer transitions.
- Has regular on-site presence at Health Centers for front-end workflow observation, troubleshooting, and training.
- Charge Capture & Documentation Support
- Works with clinical and operational staff to ensure services are appropriately documented, and charges are submitted accurately and timely.
- Supports implementation and adherence to charge capture workflows aligned with payer and FQHC requirements.
- Identifies trends related to missing, late, or incorrect charges and collaborates with finance leadership to address gaps.
- Acts as a bridge between clinical operations and billing, optimizing reimbursement by auditing charge capture, resolving coding-related denials, and educating staff on documentation improvements.
- Analyzes denial trends, ensures compliant coding (CPT/ICD-10), and facilitates communication to maximize revenue.
- Data Monitoring & Reporting
- Reviews revenue-related dashboards and reports to identify trends, risks, and opportunities at the site or regional level.
- Prepares summary reports for Operations and Finance leadership, highlighting key issues, resolutions, and outstanding risks.
- Supports ad hoc data requests related to revenue performance and workflow improvement.
- Education, Training & Change Support
- Provides ongoing education and coaching to clinic teams on revenue cycle, related workflows, and best practices.
- Supports onboarding and training for new clinic staff related to registration, eligibility, and revenue-sensitive processes.
- Affords assistance with the implementation of new workflows, systems, or payer requirements impacting revenue cycle operations.
- Compliance & Audit Support
- Pairs with Compliance and Finance teams to support audit readiness related to billing, documentation, and front-end processes.
- Affords assistance with corrective action plans resulting from audits, OSVs, or internal reviews.
- Ensures revenue cycle practices align with HRSA Health Center Program requirements, Medi-Cal, Medicare, and payer contracts.
- Cross-Functional Collaboration
- Collaborates closely with Clinic Operations, Enrollment, Access, Quality, IT, and Compliance teams.
- Serves as a resource for Center Directors and site leadership related to revenue cycle questions and escalations.
- Collaborates in a strong partnership with the Deputy Director of the Health Centers, Practice Managers, and Front-end teams.
- Collaborates regularly with Information Systems to prioritize, manage, resolve, and implement JIRA’s.
- Participates in meetings, workgroups, and improvement initiatives as assigned.
- General Administration
- Documents issues, resolutions, and process changes to support transparency and continuous improvement.
- Performs other duties as assigned to support organizational revenue integrity and sustainability.
- Strong attention to detail with the ability to identify revenue risk early.
- Ability to translate revenue cycle requirements into operational workflows.
- Comfort working in fast-paced, highly collaborative environments.
- Commitment to equity, access, and patient-centered care.
- Professional judgment and discretion when handling sensitive financial information.
- Sound judgment escalating issues to site leadership, financial leadership, and/or enterprise leadership as appropriate.