Description
Position Summary:
The Protocol Specialist is responsible for many functions in RCM.
Duties and Responsibilities:
- Builds and updates new companies in Experity for Xpress and Integrity Urgent Care
- Responsible for updating EPS charges
- Contacts Employers and WC companies for any missing or incomplete information
- Clinics liaison for any EPS questions or issues
- Efficiently process incoming paperwork utilizing department resources as needed
- Ability to stay focused and perform job duties efficiently and accurately
- Responsible for maintaining workload balance, ensuring maximum efficiency, eliminating rework, and reducing cost
- Participate in meetings, conference calls and training sessions, including Management Meetings, Team Meetings, as well as any meetings while working telecommute during assigned daily work schedule
- May receive incoming telephone calls and resolve issues communicated
- Ability to interpret and apply policies and procedures
Qualifications:
- Education:
- High School diploma and/or equivalent combination of education and experience
- Experience:
- 12 months experience in Medical Billing, Medical Collections or Medical Billing Systems.
- Experience with traditional insurance plans, HMO/PPO’s, Medicare, Medicaid, and Worker’s Comp.
- Skills:
- Ability to use 10key by touch
- Able to type 45 wpm
- Basic Microsoft Excel and Word knowledge
- Medical billing knowledge
- Read EOB's (Explanations of Benefits)
- Analytical skills
- Organizational skills
Working Conditions:
- May be exposed to/occasionally exposed to patient elements.
- Subject to varying and unpredictable situations and interruptions.
- Occasionally subjected to irregular hours.
- Occasional pressure is due to a fast-paced environment.
- Position may require lifting, carrying or pushing equipment or patients.
Requirements
Physical Requirements:
- Must be able to see with corrective eye wear
- Must be able to hear clearly with assistance
- May be exposed to infectious and contagious diseases.
- May be in contact with patients under a wide variety of circumstances.
- Able to handle emergency or crisis situations.
- May be occasionally subject to irregular hours.
- May be required to wear protective equipment as necessary.