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RCM Specialist

OneOncology
USA
Full-time
Mid
Onsite
Discovered 3 days ago
Communication

Full Job Posting

Responsibilities

  • Act as a super user who can work with other staff to impart best practices.
  • Operate as a training resource within the various teams.
  • Work in the functions within each Patient Accounting team in the business office (Charge Entry, Payment Posting, ECT, Collections and Credits).
  • Conduct audits as assigned by manager. Provide feedback to management in report format.
  • Communicate effectively with practice leadership. Advise of problem areas that may be encountered while working with any team or department.
  • Complete special projects as assigned by Director or Manager.
  • Prepare end-of-month report for submission to Manager.
  • Assist with staff functions as assigned within each Patient Accounting team (including, but not limited to: Charge Entry, Payment Posting, ECT, Collections and Credits) and PACS team (Coverage and Benefits, Drug Authorization and Financial Counseling/PAS).
  • Adapts quickly to changes in assignments to maximize financial impact with restricted time constraints.
  • Identify opportunities that will provide a significant contribution to reducing A/R and increasing revenue.
  • Working knowledge of company/departmental policies and procedures and effectively applies this knowledge.
  • Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer.

Required Qualifications

  • Bachelor’s degree or equivalent healthcare related experience required.
  • Requires an in-depth knowledge of all aspects of a multi-site physician practice business office.
  • Ability to read and interpret EOBs.
  • Knowledge of CPT, ICD & HCPCS coding required.
  • Experience in claims processing, advanced claim coding and electronic claim submission preferred.
  • Knowledge of Aria, OncoEMR and Centricity Practice Management System preferred.
  • Essential Competencies:
  • Attendance is an essential job function.
  • Knowledge of GE Group Management.
  • Analytical skills including working with numbers, including but not limited to balancing payments.
  • Ability to prioritize work and manage time efficiently.
  • Self-motivated, able to work autonomously, multi-task and switch focus quickly.
  • Creative thinking skills, hands-on problem-solving skills and ability to analyze and respond to data.
  • Effective communication skills at all levels within an organization and excellent customer service skills.
  • Strong knowledge of business office procedures, medical practice, and medical terminology.
  • The above job description is a general overview of the responsibilities and competencies for this role at OneOncology. Specific details may vary based on the needs of the organization.

Preferred Qualifications

  • Experience in claims processing, advanced claim coding and electronic claim submission preferred.
  • Knowledge of Aria, OncoEMR and Centricity Practice Management System preferred.

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