RCM Specialist

OneOncology

About The Position

The RCM Specialist works under the direct supervision of the Project/Training Manager and supports revenue cycle and business office activities and cash goals. The role works within Patient Accounting and Patient Access to Care (PACS) teams as a temporary resource for coverage and project support. It provides project-focused assistance to the business office and works closely with department managers and the Director. The specialist may help drive OneOncology’s mission of improving the lives of people living with cancer and other diseases.

Requirements

Bachelor’s degree or equivalent healthcare-related experience.
In-depth knowledge of all aspects of a multi-site physician practice business office.
Ability to read and interpret EOBs.
Knowledge of CPT, ICD, and HCPCS coding.
Knowledge of GE Group Management.
Analytical skills, including working with numbers and balancing payments.
Ability to prioritize work and manage time efficiently.
Self-motivated, able to work autonomously, multitask, and switch focus quickly.
Creative thinking and hands-on problem-solving skills, with the ability to analyze and respond to data.
Effective communication skills at all organizational levels and excellent customer service skills.
Strong knowledge of business office procedures, medical practice, and medical terminology.
Attendance is an essential job function.

Nice To Haves

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

Responsibilities

Serve as a super user and share best practices with other staff.
Provide training support within various teams.
Perform functions across Patient Accounting teams, including Charge Entry, Payment Posting, ECT, Collections, and Credits.
Conduct audits as assigned and provide management with feedback in report format.
Communicate effectively with practice leadership and advise them of potential problem areas encountered while working with teams or departments.
Complete special projects assigned by the Director or Manager.
Prepare an end-of-month report for submission to the Manager.
Assist with staff functions across Patient Accounting teams and PACS teams, including Coverage and Benefits, Drug Authorization, and Financial Counseling/PAS.
Adapt quickly to changes in assignments to maximize financial impact within restricted time constraints.
Identify opportunities to reduce accounts receivable (A/R) and increase revenue.
Apply knowledge of company and departmental policies and procedures.
Perform additional responsibilities as assigned.