Client Service Liaison - Risk Adjustment Revenue Cycle (PACE)

Job title: Client Service Liaison - Risk Adjustment Revenue Cycle (PACE)

About the Role The Client Service Liaison will provide specialized expertise to Capstone’s clients by actively assessing and monitoring the Medicare revenue cycle for PACE programs. As a strategic partner, you will collaborate with PACE program financial teams to interpret Medicare payment data, identify variances or risks, and support accurate and timely premium payments in the Medicare revenue cycle for PACE programs.

What You'll Do

• Completes assessment for assigned panel of PACE programs using CMS returns files and input from all Capstone departments' analytics, including coding, auditing, and medical consultants.
• Assess the client's action plan based on structured assessments every quarter, including on-site client visits, virtual conference calls, etc.
• Develops and strengthens Capstone client relationships in the defined assignment panel.
• Works with the Capstone project coordinator to ensure successful new client onboarding.
• Monitor client needs and recommend additional services and/or improvements to current services, when appropriate.
• Responsible for ensuring customer satisfaction by resolving issues quickly and creatively.
• Assist the client with navigating and optimizing the use of service offerings and reports.
• Provide and/or coordinate additional training and education to the clients (other than quarterly review) via webinar as needed.
• Provides support and collaborates with other Capstone teams in relation to the assigned client panel.
• Develops and maintains master schedules for all clients in the assigned client panel.
• Participates in internal collaboration calls regarding clients in the assigned client panel.
• Maintains professional licenses and certifications (where applicable) and attends training conferences/webinars as necessary to keep abreast of the latest trends in the field of expertise.
• Understands and adheres to HIPAA requirements.
• Participates as requested in department meetings, client calls, annual training, and performance evaluations.
• Performs other duties and responsibilities as required.
• Completes miscellaneous projects for Capstone as assigned or requested.

What We're Looking For

• Education: Associate Degree required; Bachelor's degrees preferred.
• Experience: Minimum three years of experience in Hierarchical Condition Categories (HCC) or risk adjustment; experience with Risk Adjustment Analytics strongly preferred.
• Knowledge of or experience in Risk-Adjusted contracting or provider groups (preferred).
• Knowledge of CMS Medicare revenue cycle in the risk adjustment payment model.
• Skills: Proficient with MS Word, Excel, and PowerPoint; comfortable with learning new and proprietary software.
• Highly skilled in written and verbal communication; excellent presentation skills.
• Ability to manage multiple and complex tasks with initiative and follow-through with minimal supervision.
• Detail-oriented, HIPAA compliant, and able to work independently in a fast-paced environment.

Nice to Have

• Knowledge of or experience in Risk-Adjusted contracting or provider groups (preferred).

Compensation & Benefits AnewHealth offers a comprehensive benefit package for full-time employees that includes medical