Biller / Revenue Cycle Management Specialist

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:

+ Criminal background check and/or drug test

+ Initial and continuous exclusion and sanction/disciplinary monitoring

Required Training:

+ HIPPA Privacy Course

+ HIPPA Security Course

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

Management Skills Required:

+ Customer Service: Must provide timely and accurate responses to all business associates and customers

+ Planning: Must develop effective plans, objectives and goals that achieve desired results in a timely manner

+ Organization: Must organize work in a systematic way, establish clear lines of responsibility, and delegate effectively

+ Communication: Must write and speak clearly and effectively at all levels, listen and be attentive to others

+ Decision Making: Analyze data and make and/or implement effective decisions in a timely manner

+ Technology: Must use technology to its fullest potential to achieve department and corporate goals

Leadership Skills Required :

+ Leadership: Gains acceptance of ideas and accomplishes goals through subordinates, peers and teams

+ Personnel Development: Selects, trains, coaches and develops associates and teams for peak performance

+ Teamwork: Must strengthen team performance by sharing information, establishing guidelines and celebrating success

+ Empowerment: Demonstrates positive and active ownership of one’s responsibilities and fosters the same in others

+ Employee Relations: Provides and solicits constructive feedback, evaluates performance and takes corrective action

Behavioral Traits :

+ Intuitive/Open minded: Must be able to see opportunities, develop and implement creative solutions to complex problems

+ Achievement Drive/Commitment: Driven to achieve goals, objectives and results. Fosters a culture of continuous improvement

+ Positive/Supportive: Inspires and shows faith in others, builds a positive and supportive work environment

+ Flexibility: Ability to adapt to changing business needs. To balance multiple priorities and deliver under pressure

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 7 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.