PRIMARY FUNCTIONS:

This exempt position under the FLSA is responsible for managing Emergicon’s Analytics Department. The position will oversee the development and implementation of new analytics tools and technologies, which Emergicon anticipates will result in expense reduction, process improvement, and enhanced internal operational metrics.

This position requires a personal commitment to Emergicon’s mission, core values, and the willingness to demonstrate those core values in all activities performed for Emergicon or while representing Emergicon.  The incumbent(s) in this position are active participants in the organization and are required to ensure that the company remains technologically competitive.

REPORTS TO:

This position reports directly to the President/CEO.  This position is responsible for the supervision of Emergicon’s Junior Analysts, Senior Analysts, and Financial Analysts, and is expected to work collaboratively with other IT personnel to resolve any issues.

ESSENTIAL DUTIES and RESPONSIBILITIES:

• Lead a specialized team in the development and implementation of new analytics tools and technologies
• Maintain databases to ensure data integrity, to include indexing and restructuring database tables to optimize queries and BI tools
• Lead and perform technical and analytical work in planning, developing, and implementing various applications and databases
• Serve as the liaison between the Executive Team and Analytics Department, understand current and future business goals, and suggest and implement technologies accordingly
• Consult with the Executive Team and the IT Department on the newest technology and its implications in the industry
• Oversee the selection, resource allocation, and launching of new technologies and software programs
• Lead a large array of technology-harnessing projects and initiatives and ensure that projects are completed in a timely fashion
• Evaluate, test, and recommend new opportunities for enhancing Emergicon’s software, hardware, and analytical processes
• Provide proactive and reactive data management and report generation training to users
• Evaluate and draw conclusions from operational and industry data using data models
• Create forecasts using analytical information to support business initiatives
• Stay current with new technologies within the healthcare industry, ensure that the company is technologically competitive; make recommendations for new implementations and/or upgrades to technologies being used by company
• Develop, implement, and disseminate metrics about quality, performance, and outcomes
• Craft a vision for change, drive transformation and change across relevant IT and analytic domains

KNOWLEDGE AND EXPERIENCE REQUIRED:

• Experience with both information technology and advanced healthcare data analysis
• Bachelor’s Degree in Software Development, Computer Engineering, Project Management or related field
• 3+ years’ experience in a supervisory position related to data analysis
• 5+ years’ experience in healthcare technology development and deployment
• Sound grasp of IT infrastructure and database administration
• Competent in project management, advanced SQL database management and maintenance skills, IT systems, and business analytics
• Strong knowledge of servers, storage, networks, and databases and how IT applications consume these resources
• Strong project management, analytical, planning, problem solving, and presentation skills

PRIMARY FUNCTIONS:

This position is responsible for the overall management and leadership of the Accounts Receivable (A/R) Department, to ensure timely, accurate collections, maximizing reimbursement and assisting with patient and client solutions.

REPORTS TO:

The A/R Manager reports directly to the Operations Leader and is responsible for managing all staff in the A/R department.  This position works collaboratively across all departments and interacts directly with patients and Emergicon clients.

ESSENTIAL DUTIES and RESPONSIBILITIES:

• Provide technical Accounts Receivable leadership to the team, company and our clients
• Establish and deliver a department vision with clear team and individual priorities and goals
• Review, evaluate and update the effectiveness of current collection policies and procedures
• Establish Key Performance Indicators (KPIs) for Accounts Receivable Department
• Monitor staff’s workflow and overall effectiveness to ensure team and individual production goals are compliant and being met daily
• Monitor denial and no activity trends by payor and help root cause issues
• Provide on-going team education, timely reviews, effective recognition and discipline to enable Right Person, Right Seat clarity, always modeling Emergicon’s core values
• Maintain adequate staffing levels through retention, recruitment and interviewing
• Lead leveraging Entrepreneurial Operating System (EOS) and Predictive Index (PI)
• Stay updated on industry and legislative changes
• Follow all state and federal collections and HIPAA laws
• Other duties, as assigned

KNOWLEDGE AND EXPERIENCE REQUIRED:

• Three or more years of proven managerial experience as an A/R manager in healthcare with demonstrated ability to achieve performance goals and motivate team members
• Bachelor’s Degree in Accounting, Finance, Business Administration, or related area; equivalent combination of education and experience may be considered
• High attention to detail, analytical and process oriented
• Excellent verbal and written communicator with courteous customer service phone skills
• Strong interpersonal and leadership skills having the ability work effectively with internal and external customers or clients
• Enjoys faster-than-average pace with the ability to learn quickly, thoroughly, and can recognize and adjust to change
• Highly proficient in computer software programs such as, Microsoft Office
• Must have organizational and time-management skills
• Analytical thinker with the ability to multitask, solve problems, create detailed reports
• Strategic thinker with a “roll up the sleeves” to get the job done tactical work ethic
• Ability to maintain certifications applicable to respective job functions
• Medicare Part B experience preferred
• Certified Ambulance Coder designation preferred
• Revenue Cycle Management experience in healthcare preferred
• Working knowledge in Entrepreneurial Operating System (EOS) preferred
• Experience using Predictive Index (PI) preferred

The focus of this job is on producing high quality, detailed work based on established standards, guidelines and procedures. Precise, consistent work output is essential requiring patience and a willingness to handle and complete one task at a time. The job environment is stable, based on known relationships with people and well-defined processes. Job knowledge and competency is built through structured step-by-step training and positive, supportive coaching from management and peers. Communication with others is based on knowledge of repetitive job routines and procedures gained from sufficient on the job experience. Consistent, error free work based on defined regulations and standards are key measures of job performance success. This position is designed to develop a valued technical expert, who, recognized and supported by management and a stable work environment, can deliver quality work on a consistent basis. Must be able to work in a fast paced environment.

ESSENTIAL DUTIES and RESPONSIBILITIES:

The Billing Specialist will complete the following functions on a daily basis:

• Obtain all run reports (trip notes, PCR’s, etc.) by paper or electronically for previous day’s transports
• Code claims with appropriate ICD-10 & HCPC codes
• Review each chart for medical necessity
• Request hospital face sheet/demographics if applicable to obtain payer/demographic information
• Verify payer information on all transports
• Check appropriate insurance web sites and/or contact the patient on all private pay accounts prior to billing
• Enter all claims into billing system
• Match claims billed against all appropriate logs
• Resolve all incoming patient and client telephone calls as needed
• Follow up on rejected claims and failed claims as needed
• Recognize payor trends and report to management
• Other duties as assigned

KNOWLEDGE AND EXPERIENCE REQUIRED:

• High School diploma required
• Six months of medical billing experience preferred
• CAC preferred
• Detail oriented
• Strong verbal communication and written skillset

* If you are selected as potential candidate we’ll send you an assessment to complete (please check your junk mail)” *

PRIMARY FUNCTIONS:

The Pre-Billing Specialist is responsible for ensuring accurate patient demographic and insurance information is reported in each claim.

REPORTS TO:

The Pre-Billing Specialist reports directly to the appropriate Billing Manager and works collaboratively with other Emergicon personnel in all departments.

ESSENTIAL DUTIES and RESPONSIBILITIES:

• Request hospital face sheet/demographics if applicable to obtain payer/demographic information
• Verify payer information and select/add appropriate payer information on all transports
• Check appropriate insurance web-sites and/or contact the patient on all private pay accounts prior to billing
• Review PCR or face sheets for missing insurance and other pertinent information in relation to billing
• Work and resolve any claim for which a denial was received
• Follow up on rejected claims
• Work returned mail
• Other duties as assigned

KNOWLEDGE AND EXPERIENCE REQUIRED:

• High School diploma required
• One year data entry skills preferred
• Computer literate and enjoys working in search programs to find information
• Problem solving mindset
• Insurance verification knowledge
• Well organized and detail oriented
• Professional phone skills
• Maintain any certification applicable to job functions
• Ability to handle multiple tasks and to prioritize their importance

ADDITIONAL INFORMATION

The competence of the employee in performing his/her job duties is evaluated during the introductory period to his/her position and will be demonstrated, maintained and improved on an ongoing basis.  The statements contained in the position reflect the general duties considered necessary to describe the principle functions of the job identified, and shall not be considered a detailed description of all the work requirements that may be inherent in the position.