Emergicon is seeking to fill a new role on our Leadership Team to lead and manage all aspects of EMS reimbursement. A well-qualified candidate will have proven leadership experience, a history of development of managers, understanding of emergency medical services or similar Part B reimbursement and knowledge of OR experience with the entrepreneurial operating system.

Emergicon supports Texas Fire & EMS through exceptional revenue cycle management and amazing customer service.

REPORTS TO / SUPERVISES:

This position reports directly to the Vice President of Emergicon. This position is responsible for the supervision of all managers of pre-billing, billing, accounts receivable, payment posters, patient accounts and credentialing.

ESSENTIAL DUTIES/RESPONSIBILITIES:

• Provide day-to-day operational leadership and management that mirrors the core values of the company.
• Responsible for the measurement and effective leadership of all billing & reimbursement processes internal and external. Provides timely, accurate and complete updates on the operating condition of the company to senior leadership.
• Collaborate with the management team to develop and implement plans for the operational infrastructure of systems, processes, training, and personnel designed to accommodate the rapid growth objectives of our organization.
• Motivate and lead a high-performance management team; attract, recruit and retain required staff not currently in place; provide mentoring as a cornerstone to management career development.
• Foster a success-oriented, accountable environment within the company.
• Represent the firm with clients and business partners as needed.

KNOWLEDGE & EXPERIENCE REQUIRED:

Ten or more years of experience in revenue cycle management. EMS experience preferred.

MHA, MBA or other advanced degree.

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

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.