Home Infusion Billing Specialist

KPH Healthcare Services • Full-time • Remote (Oklahoma City, OK, US) • 1m ago

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 submit claims for payment from all third-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 the resolution of billing issues such as claim resubmissions to all payers, changes in coverage, and claims
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.
Communicate as needed with patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries 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 processes to measure, assess, and improve the performance of the billing department activities of the company.
Ensure ongoing compliance with all laws and regulations; ensure that the department meets or exceeds accreditation standards; and implement "best practices" in all departmental
Participate in surveys conducted by authorized inspection
Participate in the company's Performance Improvement program as requested by the Performance Improvement
Participate in company committees when
Participate in in-service education programs provided by the company.
Pursue continuing education programs appropriate to job
Perform other duties as assigned by
Complete all mandatory and regulatory training programs.
Report any misconduct, suspicious or unethical activities to 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.

Related Jobs

Assistant Front End Mgr

HAC, Inc • OKC, OK, US • 1m ago

Administrative

Job Details Level : Management Job Location : Homeland Store 153 - OKC, OK Position Type : Part Time...

1m ago

Apply

E-Commerce Assistant Dept Manager

HAC, Inc • Edmond, OK, US • 1m ago

Administrative

Job Details Level : Management Job Location : Homeland Store 238 - Edmond, OK Position Type : Part Time...

1m ago

Apply

Assistant Produce Manager

HAC, Inc • OKC, OK, US • 1m ago

Administrative

Job Details Level : Experienced Job Location : Homeland Store 267 - OKC, OK Education Level : H...

1m ago

Apply

Intake Specialist

KPH Healthcare Services • Full-time • Oklahoma City, OK, US • 19m ago

Administrative

Overview Scope of Responsibilities: The Intake Specialist is an experienced individual who is able to assist and manage the referral intake process. Job Summary: The Intake Coordinator is able to multitask uti...

19m ago

Apply

PGI - All Positions (Tinker)

DCS Corp • Oklahoma City, OK, Oklahoma • 11h ago

The DCS Team will commence this multi-year effort in April/May 2025 and continue through April/May 2030. We are working to smoothly fill projected positions. These positions are located at Tinker AFB, OK and other...

11h ago

Apply

B-2 Security Manager (Tinker AFB)

DCS Corp • Oklahoma City, OK, Oklahoma • 11h ago

In this role you will provide broad Security Management Support to the B-2 Weapons System Support Center within the US Air Force Life Cycle Management Center at Oklahoma City, OK. You will assist with providin...

11h ago

Apply

Branch Associate

Locke Supply • Yukon, OK • $14 / hour • 1d ago

Retail

Locke Supply Company of Yukon, OK is seeking an outgoing and energetic Branch Associate to provide excellent customer service at our branch locations, offer a...

1d ago

Apply