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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 6 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.

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