**Overview** The Revenue Cycle Management Specialist- Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + Manage the collection process for outstanding claims, including contacting insurance companies, patients, and other responsible parties via phone, email, and written correspondence. + Investigate and resolve denied or partially paid claims, identifying root causes and implementing corrective actions. + Collaborate with internal teams to address claims challenges and improve revenue cycle. + Escalate complex or uncollectible accounts to management for further action. + Submit appeals/claim corrections as needed within timely filing limits. + Utilize billing software to maintain accurate and detailed records of all collection activities, including communication with payers and patients. + Payer projects as assigned. + Identify and report trends in claim denials and payment challenges. + 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 RCM 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** **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, ICD-10, and NDC codes + Diligent attention to detail. + Excellent verbal and written communication. + 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.) + Understanding of various insurance plan benefits, payer payment policies, and reimbursement procedures. + Deep understanding of home infusion process, therapies, and related services. + Ability to understand payer explanation of benefits. **Educational Requirements:** + High school diploma or GED **Experience:** + One to three years of experience in Home Infusion or Specialty Pharmacy collections. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13806/revenue-cycle-management-specialist---collections/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NC-Greensboro_ **Posted Date** _3 days ago_ _(2/14/2025 12:08 PM)_ **_Requisition ID_** _2025-13806_ **_\# of Openings_** _1_ **_Category_** _Accounting/Finance_ **_Location : Location_** _US-NC-Greensboro_