Job Information
KPH Healthcare Services, Inc. Biller / Revenue Cycle Management Specialist in Hoffman Estates, Illinois
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.