RCM Specialist

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. 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, urology, 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 independent physicians and the patients they serve.

Job Description:

This role works under the direct supervision of the Project/Training Manager and will perform a variety of tasks to support all revenue cycle/business office activities and cash goals. This position will work within Patient Accounting and Patient Access to Care (PACS) teams to serve as a temporary resource to provide coverage and project support as needed. This position provides project focused assistance for the business office and will work closely with all department managers and Director.

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.