RCM Medical Systems Specialist

OneOncology

About The Position

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 Medical Systems Specialist will be responsible for maintaining and monitoring processes in RCM systems. They will also be responsible for managing access to payer portals for the RCM team. 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. OneOncology is the national platform for independent community oncology practices working together to improve the lives of everyone living with cancer through a physician-led, data-driven and patient-centric model. OneOncology provides practices on the platform with capital, innovative technology and expertise enabling them to grow, provide multi-disciplinary services along the continuum of care, incorporate the latest scientific developments as they emerge in the market, and attract the best physicians and employees as the landscape of oncology rapidly changes. OneOncology is comprised of practices representing nearly 600 providers practicing at more than 175 sites of care across the United States.

Requirements

High School diploma or equivalent required.
Previous experience with healthcare billing and practice management systems
Attendance is an essential job function.
Excellent customer service skills
Working knowledge of billing, HCPCS, CPT and ICD codes
Ability to work effectively with all levels of management and other colleagues, demonstrating •initiative, mature judgment, and customer service orientation.
Effective verbal and written communications, including active listening skills.
Exceptional Multi-tasking, organizational skills and superb attention to detail.
Proficient in the use of computer applications, (MS Word, Excel, Outlook)

Responsibilities

Monitors daily and monthly automated process in the RCM systems.
Resolves system tasks that are created by the RCM team.
Runs the necessary processes to generate claims or patient statements.
Adds new providers and locations as requested by management.
Maintains plan code mapping and updates payer IDs as necessary.
Assists with the end of month close process in the practice management system.
Participates in the monthly systems calls with practice management vendors.
Adds or modifies rules in the rules engines and practice management systems.
Makes necessary modifications to the practice management system master tables as requested by management.
Assists with clearinghouse rejections as needed.
Manages payer portal access for the RCM team.