MedPro Revenue Cycle Specialist

The Hearing Center; Pensacola (FL); On-site; USD 42,000 - 62,000; Full time

Job summary

The Hearing Center in Pensacola, FL is seeking a MedPro Revenue Cycle Specialist under the VP MedPro Operations to support across MedPro and MCC and maintain knowledge of all departments.

You will post payments and manage claims across carriers, using Context and PARC, while ensuring timely processing and accurate authorizations. The role requires strong communication, integrity, and ability to work independently.

Qualifications

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

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.

Skills

Prioritization

Customer service

Interpersonal skills

Attention to detail

Verbal and written communication

Integrity and character

Team collaboration

Computer proficiency

English proficiency

Confidential information handling

Critical thinking

Public speaking

Independent work

Education

High school diploma

AA or BS degree preferred

Tools

MS Office

PARC application

Windows OS

Job description

Description

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.

Requirements

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.