RCM OPH - Senior RCM Specialist

Eye Care Partners Career•Blue Ash, OH

1d•Remote

About The Position

EyeCare Partners is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com . Job Title: Senior RCM Specialist Must reside in the following states: AL, AZ, FL, GA, IL, IN, KS, KY, MI, MN, MO, NC, NJ, OH, OK, PA, TX, VA Job Summary The Senior RCM Specialist is responsible for reviewing, reporting, and monitoring all activities within the RCM teams under the direction of RCM leadership. This position is responsible for onboarding, training and auditing RCM team members on department policy, procedure and workflows. This position is also expected to manage some front-line workload to ensure department needs are met.

Requirements

High School Diploma or GED
5+ years of Medical Insurance Billing. Ophthalmology Practice preferred.
Experience with accounts receivable and understanding of the revenue cycle
Experience with CPT and ICD-10; Familiarity with medical terminology
Expert knowledge of billing procedures, collection techniques, posting or other functions where a Sr RCM Specialist is engaged.
Ability to collaborate with internal and external stakeholders
Detail oriented, professional attitude, reliable
Consistent production results
Logical, Critical thinking, and research skills
Excellent organization, time management, and prioritization skills
Professional in appearance and actions
Enjoys learning new technologies and systems
Exhibits a positive attitude and is flexible in accepting work assignments and priorities
Meets attendance and tardiness expectations
Management and organizational skills to support the leadership of this function
Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations
Interpersonal skills to support customer service, functional, and teammate support need
Able to communicate effectively in English, both verbally and in writing
Intermediate computer operation
Proficiency with Microsoft Excel, Word, PowerPoint and Outlook
Practice management software and clearing houses experience
Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines
For on-site team members, work takes place in a normal office/clinical environment. Travel to other locations may be necessary to fulfill the essential duties and responsibilities of the job. Thus, those needing to travel for work must have access to dependable transportation, and their driving record must meet company liability carrier standards. For remote team members, HIPAA compliant home office environment. Ability to work in a remote environment while performing required duties and remaining patient focused. Able to work varying shifts including early mornings/evenings to attend meetings and cross training or support other initiatives.

Responsibilities

Assist in maintaining efficient workflows within the RCM department
Responsible for ensuring RCM department KPI’s and goals are met
Assist RCM leadership in monitoring the RCM team members level of accuracy, efficiency, productivity, and quality
Acts as a subject matter expert on RCM policy and procedure
Collaborate with other members of the RCM team in cultivating and managing strong relationships both internally and externally
Audits team members work and provides unbiased overview of employee work quality.
Assist in employee training and continued development
Motivates team members and helps to develop best practices.
Ensure adherence to and compliance of payor, government and internal system regulatory policies
Identify potential process improvements
Carry out established lead responsibilities in accordance with the organizations policies.
Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.
Performs all other duties as assigned that may be necessary or in the best interest of the organization.