Job Description

JOB OVERVIEW

The Finance Liaison is responsible for working directly with network partners through on-site and remote communication to ensure successful implementation and execution of Healthy Alliance SCN HRSN billing requirements.

RESPONSIBILITIES AND DUTIES

• Operate as the primary point of contact for assigned partners for all matters related to SCN financial activities.
• Manage finance onboarding and training support for Healthy Alliance’s SCN HRSN network with Healthy Alliance training department. [LD1] Oversee partner SCN HRSN billable service submissions for timely submission and completeness, following up with the partner finance point of contact as needed.
• Monitor partner SCN HRSN billable claims for pends/denials requiring follow-up and work with partner to resolve claim issue
• Review SCN HRSN service payments to be made to partner and initiate financial payment process
• Receive partner capacity building expense documentation, review for appropriateness and completeness before submitting for payment.
• Collaborate with internal cross-functional teams to meet partner needs and ensure positive partner experience.
• Hold monthly check-in meetings with assigned partner finance point of contacts.
• Identify partner needs and connect to appropriate Healthy Alliance stakeholders.
• Use Healthy Alliance tools and resources to inform partner communications and meetings.
• Track and communicate monthly partner financial performance to internal and external stakeholders.
• Exercise discretion and professional judgement to maintain project specific timelines and communicate project expectations and timelines with internal and external stakeholders.
• Maintain current knowledge and understanding of Medicaid and local transformation, including waiver programs, triple aim, and value-based purchasing.
• Embody Healthy Alliance’s vision, mission, and goals.

This job description is not designed to cover or contain a comprehensive listing of task activities and/or duties that are required of the employee for this job. Responsibilities and activities may change at any time with or without notice.

QUALIFICATIONS

Education

Associate degree in a related field or equivalent experience such as accounting or business-related fields. Equivalent work experience in government/health payor billing may be considered in lieu of degree requirements.

Specific Skills and Experience

• Associates degree of equivalent
• Minimum of 2+ years of claims billing experience.
• Excellent written and verbal communication skills for all levels of management.
• Strong working knowledge of Office 365 Suites in addition to moderate technical and analytical skills to compile data for planning and reporting purposes.
• Analytical thinker, able to plan for growth and execute.
• Ability to manage multiple detailed projects simultaneously and adjust as needed.
• Ability to identify the source of a problem and propose a timely solution within budget.
• Strong leadership skills to guide and direct a team.
• Demonstrated commitment to the values of diversity, inclusion, and equity.
• Strong community awareness and astuteness.
• Physical abilities: sedentary work that primarily involves sitting/standing, use of typical office equipment such as a computer, laptop, and cell phone. May include light work that includes moving objects up to twenty (20) pounds independently or with assistance.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to hr@healthyalliance.org

PRIVACY REQUIREMENT

This job function involves potential access/interaction with protected health information. Position will be required to abide by company policies and procedures that support federal, state, and local HIPAA (Health Insurance Portability and Accountability) regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment. Healthy Alliance is an At-Will Employer.

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