JOB DETAILS

Biller / Revenue Cycle Management Specialist

HealthDirect • Full-time • Hoffman Estates, IL, US • 5m ago

Overview

Job Summary: The Revenue Cycle Management Specialist is to support the process of the company's billing function.

Responsibilities

Job Duties:

Report any misconduct, suspicious or unethical activities to the Compliance
Ensure verification of current coverage with third party payers and obtain authorizations as
Assist in the preparation and submission of claims for payment from third party payers, and invoices for patient co-payments.
Support the resolution of billing issues such as claim resubmissions to all payers, changes in coverage, and claims
Communicate as required with patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries about
Review and approve refunds of third-party payer and patient overpayments.
Assist in record keeping so that all information is accurate and complete and manage the flow of up-to date information between billing department and other parts of the company, such as the accounts receivable, accounts payable and customer service
Ensure the implementation of processes to measure, assess, and improve the performance of the billing department activities of the company.
Review and suggest changes to billing department policies and procedures as needed.
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
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.

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