**Overview** **Job Summary:** The Revenue Cycle Management Specialist- Biller responsibility is to manage the process of the company's billing function including accurate and timely claim creation and submission. **Responsibilities** + Accurately prepare and submitclaims for paymentfrom allthird-party payers in a timely manner. + Verify documentation of supplied products align with prepared claim. + Verify accuracy of billed codes and accuracy of billed and expected amounts. + Support theresolutionofbilling issuessuch asclaim resubmissions toallpayers, changes incoverage,andclaims + Follow up on submitted claims and resolve rejected claims, including claim corrections, update payer ID, update patient insurance record, etc. + Prepare and submit patient statements. + Communicateasneededwithpatients about billing issues,including theresults ofapplications for financial hardshipassistanceand other responses tocustomerinquiries about + Support accurate and comprehensive record-keeping to ensure up-to-date information is maintained and effectively shared across departments. + Assist in the implementation of processesto measure,assess,and improve the performance of the billing departmentactivities of thecompany. + 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 + Complete all mandatory and regulatory training programs. + Reportanymisconduct,suspicious orunethicalactivitiesto the Compliance + Complies with accepted professional standards and practice. **Qualifications** **Educational Requirements:** + High school diploma or GED **Experience:** + One to three years of experience in Home Infusion or Specialty Pharmacy billing. **Job Skill Requirements:** + Ability to read and interpret medical records for billing purposes. + Competent in mathematic equations. + Ability to compute unit conversions for drugs. + Understanding of CPT, HCPCS, and ICD-10 codes + Has excellent attention to detail and communication skills. + Understanding of HIPAA compliance. + Self-directed, has the ability to work with little supervision. + Proficiency in Excel, Outlook, and all other office applications. + Familiarity with pharmacy management systems (CPR+, Wellsky, and CareTend, etc.) + Familiar with billing requirements for various payers (Medicare, Medicaid, Commercial, etc.) + Knowledge and experience submitting pharmacy and medical claims electronically or on paper. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13804/revenue-cycle-management-specialist---billing/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-OK-Oklahoma City | US-IL-Hoffman Estates | US-OH-Maumee | US-TX-Longview | US-NC-Greensboro | US-TX-Dallas | US-TX-Houston | US-MO-Kansas City_ **Posted Date** _5 days ago_ _(2/14/2025 11:55 AM)_ **_Requisition ID_** _2025-13804_ **_\# of Openings_** _1_ **_Category_** _Accounting/Finance_ **_Location : Location_** _US-OK-Oklahoma City_