Provider Relations Liaison

ICE Health Services Corps Provider Relations Liaison

The ICE Health Services Corps (IHSC) exists within the organizational structure of the United States Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO) under the supervision of the Department of Homeland Security (DHS). The United States Public Health Service (USPHS) Commissioned Corps Officers, civil service staff and contractors comprise the healthcare professionals working together to provide quality healthcare services. IHSC serves as the medical experts for ICE for detainee health care.

The Provider Relations Liaison (PRL) is the incumbent responsible for being a liaison between IHSC, offsite providers and the Veterans Affairs Financial Services Center (VAFSC). Liaison with community-based providers that provide or are interested in providing medical and mental health services for ICE detainees regarding Medicare reimbursement rates, Letters of Understanding, credentialing requirements, medical claims processing, payment and denials.

• Serve as one of the primary points of contact and liaison for Veterans Administration (VA) Financial Services Center (FSC) issues relating to medical claims processing, resolution, and provider reimbursement.
• Evaluate, assess, and recommend reimbursement methodologies and procedures to community providers.
• Responsible to identify potential fraud, waste and abuse when working with community providers.
• Reconcile and resolve denied community provider claims and/or appeals.
• Contacts community providers for recruitment and enrollment into the IHSC provider network by executing a Letter of Understanding.
• Liaises with IHSC stakeholders (Field Medical Coordinators and Referral Coordinators) when necessary to explain IHSC and VA FSC policy regarding claims processing.
• Assist VA FSC when necessary, in coordinating and obtaining information pertaining to Medical Provider Authorization Requests (MedPARs) or information pertaining to eligibility in the alien tracking system.
• Coordinate the purchase or rental of durable medical equipment (DME) for detainees in ICE custody.
• Performs record keeping functions in accordance with program policies and position.
• Maintains functional proficiency and ease of use utilizing electronic health records as required by, and appropriate to, position.
• Completes all initial, annual and ad hoc training as required/assigned.
• Serves as a team member for analyzing established protocol practices and identifying areas for improvement.
• Maintains patient confidentiality, and confidentiality of all records, in compliance with the Privacy Act and HIPAA regulations in all work activities.

Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Based in Alexandria, Virginia, we support more than a dozen agencies including Veterans Affairs, Transportation, Defense, Homeland Security and the National Science Foundation.

We specialize in applying technology, creativity and human-centered services to optimize mission delivery and improve experiences for millions of people who count on government services every day. Founded: 2012 Employees: 300+ nationwide

EEO Statement

Aptive is an equal opportunity employer. We consider all qualified applicants for employment without regard to race, color, national origin, religion, creed, sex, sexual orientation, gender identity, marital status, parental status, veteran status, age, disability, or any other protected class. Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply.