Revenue Cycle Management Specialist
2 weeks ago
OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision.
Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve.
Job Description:
The RCM Specialist is a key role in the RCM department who will report directly to the Shared Services Supervisor and will work closely with management and various practices. This position acts as a super user for the practice management/billing information systems, works within each department within the revenue cycle management team and provides project support.
Role Responsibilities
- Work in all functional areas within Revenue Cycle (Billing, Payment Posting, AR Collections, Authorizations, insurance benefits, and Credits).
- Work independently to bill and collect end to end within the healthcare revenue cycle.
- Possess the ability to identify issues and escalate to management.
- Conduct audits as assigned by manager. Provide feedback to management in report format.
- Communicate effectively with RCM leadership. Advise problem areas that may be encountered while working with any team or department.
- Complete special projects as assigned by management.
- Other duties as requested and assigned to help drive our mission of improving the lives of everyone living with cancer.
- Strong knowledge of medical terminology and procedures related to Oncology/Hematology
- Excellent communication skills, both verbal and written
- Ability to work collaboratively with a diverse group of individuals, including physicians, patients, insurance providers, and pre-authorization teams
- Strong organizational and time management skills
- Ability to work independently and manage multiple priorities in a fast-paced environment
- Proficiency in medical billing software and other computer programs used for record keeping and data analysis
- Knowledge of Windows-based software applications. (E.g.: Word, Excel, Outlook...)
- Minimum of 1 years of experience in healthcare RCM required, preferably in an Oncology healthcare setting
- Expertise in insurance policies and regulations related to medical billing, including Medicare and Medicaid
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