MedPro Revenue Cycle Specialist

JOB SUMMARY 

Under the direction of the VP, MedPro Operations, the MedPro Revenue Cycle Specialist is responsible for maintaining a working knowledge of all departments within MedPro and assisting as needed across MedPro and MCC. 

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Post payments, no-pays, and/or adjustments through open claims and data entry in a timely manner.
• Work claims across all carriers accurately and efficiently including “Special Accounts” (i.e. WC, MVA, etc.)
• Post charge transactions using the claim scrubber Context and process charge files through the PARC application, maintaining a high level of accuracy.
• Utilize the Managed Care Worklist to track receipt, delays and completion of requests, to prioritize requests and to obtain authorizations at minimums of one week prior to scheduled service dates.
• Promptly and accurately answer all Customer Service related account questions.
• Assist MedPro ASC staff to include calculating estimated patient prepayments for ASC facility, anesthesia, and Medical Center Clinic physicians due upon check-in for scheduled services.
• Make recommendations to improve efficiency in identified procedures.
• Perform temporary, as well as long term, support in all MedPro and MCC revenue cycle related processes based on need and approval through MedPro leadership.
• Other duties as assigned.

CORPORATE CULTURE RESPONSIBILITIES

• Follow established corporate and department-specific policies and procedures.
• Attend all corporate and department-specific required training.
• Uphold MCC’s Purpose, Values, and Vision.
• Abide by MCC’s Corporate Culture Responsibilities. 
• Perform other duties as may be assigned cheerfully and willingly.

EDUCATION/EXPERIENCE REQUIREMENTS

• High school diploma required, AA or BS degree preferred.
• Two (2) years of experience in Revenue Cycle required. 

KNOWLEDGE, SKILLS AND ABILITIES

• Ability to prioritize and manage multiple tasks.
• Displays customer services skills, strong interpersonal skills, close attention to detail, excellent verbal and written communication skills, and basic math skills.  
• Be a person of integrity and character, willing to embrace change and make a positive impact in the lives of patients and co-workers.
• Ability to work with staff members at all levels of the organization in a cooperative, team-oriented manner.
• Displays computer proficiency (i.e. PC Windows, MS Office) and ability to quickly learn new applications.  
• Proficient in use of English language both in written and verbal communication. 
• Must be able to communicate with individuals of varying socio-economic backgrounds.
• Must be committed to the protection of confidential information, records and/or reports.
• Possess strong critical thinking and analytical skills. 
• Ability to speak in front of groups and give presentations. 
• Ability to work independently in a high energy, ever-changing environment.

PHYSICAL REQUIREMENTS OF THE ESSENTIAL JOB FUNCTIONS

• Strength (Lift/Carry/Push/Pull): Sedentary (exerting up to 10 pounds of force occasionally)
• Standing/Walking: Occasionally; activity exists up to 1/3 of the time
• Keyboarding/Dexterity: Frequently; activity exists from ¾ of the time
• Ability to look at a computer screen for extended periods.
• Ability to perform constant repetitive hands and finger motions.
• Ability to maintain focus while working in close proximity to others.
• Talking (Must be able to effectively communicate verbally): Yes
• Seeing: Yes
• Hearing: Yes

EMOTIONAL REQUIREMENTS OF THE ESSENTIAL JOB FUNCTIONS

• Must exhibit stable work behaviors daily.
• Must possess adequate individual coping skills.
• Ability to remain calm and professional regardless of workload or time constraints.   
• Must be able to work under stress and remain calm and professional.    

WORK ENVIRONMENT

• Office environment
• Exposed to frequent and constant interruptions in daily functions/schedule.  
• May be required to work extended hours to meet department needs.