Biller / Revenue Cycle Management Specialist
KPH Healthcare Services, Inc.
**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
Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13364/biller---revenue-cycle-management-specialist/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866)
**Job Locations** _US-NC-Greensboro_
**Posted Date** _1 week ago_ _(10/24/2024 10:30 AM)_
**_Requisition ID_** _2024-13364_
**_\# of Openings_** _1_
**_Category_** _Accounting/Finance_
**_Location : Location_** _US-NC-Greensboro_
**_Min_** _USD $21.00/Hr._
**_Max_** _USD $21.50/Hr._
Confirm your E-mail: Send Email
All Jobs from KPH Healthcare Services, Inc.