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 6 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.