at KPH Healthcare Services, Inc. in Hoffman Estates, Illinois, United States
Job Description
Overview
Job Summary: The Revenue Cycle Management Specialist is to support the process of the company’s billing function.
Responsibilities
Job Duties:
+ Reportanymisconduct,suspicious orunethicalactivitiesto the Compliance
+ Ensureverificationof currentcoveragewith third party payersandobtainauthorizations as
+ Assist inthe preparationand submissionof claims for paymentfromthird party payers,andinvoices forpatientco-payments.
+ Support theresolutionofbilling issuessuch asclaim resubmissions toallpayers, changes incoverage,andclaims
+ Communicateasrequiredwithpatients about billing issues,including theresults ofapplications for financial hardshipassistanceand other responses tocustomerinquiries about
+ Reviewand approve refunds ofthird-partypayerand patient overpayments.
+ Assist in record keepingsothat all information is accurate andcomplete andmanagethe flowof up-to date information between billing departmentandother parts of the company,such astheaccountsreceivable,accountspayable andcustomer service
+ Ensure the implementation of processesto measure,assess,and improve the performance of the billing departmentactivities of thecompany.
+ Review andsuggestchangesto billingdepartment policies and procedures as needed.
+ Ensure ongoingcompliance with alllawsandregulations;ensurethat the department meets orexceedsaccreditation standards; and implement “best practices” in all departmental\
+ Participate insurveysconductedby authorized inspection
+ Participate in the company’s Performance Improvement program as requested by thePerformance Improvement
+ Participate incompany committees when
+ Participate in in-service education programsprovided by the company.
+ Pursuecontinuing education programs appropriateto job
+ Performotherduties as assigned by
+ Responsible for completing all mandatory and regulatory training programs
+ Perform other duties as assigned
Qualifications
Educational Requirements:
+ High school diploma or GED
Experience:
+ One to three years of experience in Home Nursing/Services or related organization
Credential/Licensure Required:
+ Must be a licensed driver with an automobile that is insured in accordance with state and agency requirements and is in good working order
Special Conditions of Employment:
+ Drug test
+ Initial and continuous exclusion and sanction/disciplinary monitoring
+ Any and all additional eligibility requirements based on the specific position
Job Skill Requirements:
+ Complies with accepted professional standards and practice
+ Has satisfactory references from current employers and professional peers
+ Has excellent observation and communication skills
+ Is self-directed with the ability to work with little supervision
+ Is flexible and cooperative in fulfilling obligations
Compensation
$21.00-21.50 per hour.
The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.
KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements .
Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/11456/biller—-revenue-cycle-management-specialist/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866)
Job Locations US-IL-Hoffman Estates
Posted Date 9 months ago (11/22/2023 3:06 PM)
Requisition ID 2023-11456
\# of Openings 1
Category Accounting/Finance
Location : Location US-IL-Hoffman Estates
Min USD $21.00/Hr.
Max USD $21.50/Hr.
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