Category: Finance & Accounting
Job Type: Full time
Shift: Day - 08 Hour
Location: Menlo Park, CA
Req: LP_00025648-2652914
Employee Group: Exempt
Benefits Eligible: Yes
Remote Eligible: No
Department: MG Revenue Cycle
Scheduled Weekly Hours: 40

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.

The Professional Revenue Cycle Liaison serves as the primary point of contact for clinicians, practice leaders, administrators, executives, and Stanford School of Medicine partners on matters related to professional revenue. This role supports effective communication, issue resolution, performance monitoring, and process improvement across areas such as coding, charge capture, billing, reimbursement, denials, patient financial clearance, and reporting. The liaison provides timely, audience-appropriate responses, engages subject matter experts as needed, and develops tools, reports, meetings, or workgroups to address stakeholder needs. This role also coordinates improvement initiatives and ensures closed-loop communication on progress, outcomes, and next steps.

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.

* Serve as a professional revenue cycle liaison to internal stakeholders, providing timely guidance and responses to current and historical revenue cycle questions through meetings, email, Teams, and other communication channels.

* Research, evaluate, and resolve complex inquiries related to coding, charge capture, billing, reimbursement, denials, patient financial clearance, reporting, compliance, and Epic workflows, coordinating with subject matter experts as needed.

* Develop and deliver recurring department/practice training, reporting, and feedback, including performance updates, KPIs, identified issues, mitigation plans, and required workflow or performance changes.

* Lead and support professional revenue cycle process improvement initiatives that enhance workflow efficiency, financial outcomes, and operational consistency, including projects that may involve cross-functional partners or broader enterprise priorities.

* Maintain current knowledge of revenue cycle operations, health policy, payer practices, government relations, Epic functionality, and planned or active workflow changes.

* Use Epic and other available tools to validate documentation, investigate workflow concerns, analyze issues, and support accurate resolution of stakeholder questions.

* Track stakeholder correspondence, recurring concerns, trends, and improvement opportunities to inform education, reporting, tools, and operational changes.

* Design and develop tip sheets, tools, dashboards, reports, and other self-service resources that promote consistent access to best-practice information.

* Build and maintain effective working relationships with physicians, clinical providers, business administrators, managers, billing teams, revenue cycle colleagues, Compliance, CDI, IT training, and other stakeholders.

* Independently develop and conduct provider and department training on charge capture, coding, billing, denials management, and related Epic workflows, ensuring alignment with organizational policies, procedures, and standards.

* As part of revenue cycle operations leadership and continuous improvement efforts, help define, implement, and monitor strategies, goals, tactics, and performance improvement systems, with emphasis on professional revenue cycle outcomes.

* 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: Bachelor's degree in a work-related discipline/field from an accredited college or university.

Experience: Five (5) years of progressively responsible and directly related work experience.

License/Certification: none.

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, including the creation of professional quality deliverables, reports, and presentations, to audiences of diverse experience and expertise, including physicians and executives.

* 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.  Tableau,  Business Objects, and Epic Slicer Dicer experience preferred.

* 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.

* Apply critical thinking, analytics, problem-solving, communication skills, discretion, and independent judgment to resolve complex and high-visibility professional revenue cycle issues.

* 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): $41.28 to $54.75

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.