Job Details
Description
At Axia Women’s Health, recognized as a
Great Place to Work for a 3rd year in a row, our vision is to lead the way in improving women's health. At the core of achieving this is a caring, connected, and progressive community of over 400 providers across nearly 200 women's health centers in New Jersey, Pennsylvania, Indiana, Ohio, and Kentucky. The rapidly growing network spans OB/GYN physicians, breast health centers, high-risk pregnancy centers, two laboratories, urogynecology care, and fertility centers. Together, Axia Women's Health puts women first by delivering the personalized care needed for women to lead healthier, happier lives.
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.
Qualities & Skills:
- Excellent verbal communication and written communication skills.
- Highly self-motivated, self-directed, and attentive to detail.
- Team-oriented, collaborative; ability to effectively prioritize and execute tasks with an understanding of priority.
- Computer proficiency, including programs such as MS Office, Word, Excel, email, and internet research. eCW experience preferred.
- Able to work independently and collaborate effectively in a remote work environment
Experience and Education:
- High school Diploma / GED equivalent (required)
- College + relevant experience preferred
Full Time Benefits Summary
- Full time benefit-eligibility beginning the first of the month after hire
- Immediate 401(k) matching contribution with no vesting period
- 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.
