KPH HEALTHCARE SERVICES, INC
Biller / Revenue Cycle Management Specialist
KPH HEALTHCARE SERVICES, INC, Oklahoma City, Oklahoma, United States, 73116
Overview
Job Summary:
The Revenue Cycle Management Specialist is to support the process of the company's billing function.
Responsibilities
Report any misconduct, suspicious or unethical activities to the Compliance
Ensure verification of current coverage with third party payers and obtain authorizations as needed
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 with patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries about billing
Review and approve refunds of third-party payer and patient overpayments
Assist in record keeping so that 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
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 activities
Participate in surveys conducted by authorized inspection
Participate in the company\'s Performance Improvement program as requested
Participate in company committees when applicable
Participate in in-service education programs provided by the company
Pursue continuing education programs appropriate to the job
Perform other duties as assigned
Responsible for completing all mandatory and regulatory training programs
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:
Drug test
Initial and continuous exclusion and sanction/disciplinary monitoring
Any and all additional eligibility requirements based on the specific position
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
Seniority level
Entry level
Employment type
Full-time
Job function
Accounting/Auditing and Finance
Industries
Pharmaceutical Manufacturing
Referrals increase your chances of interviewing at KPH HEALTHCARE SERVICES, INC by 2x
Get notified about new Biller jobs in
Oklahoma City, OK .
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr
The Revenue Cycle Management Specialist is to support the process of the company's billing function.
Responsibilities
Report any misconduct, suspicious or unethical activities to the Compliance
Ensure verification of current coverage with third party payers and obtain authorizations as needed
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 with patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries about billing
Review and approve refunds of third-party payer and patient overpayments
Assist in record keeping so that 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
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 activities
Participate in surveys conducted by authorized inspection
Participate in the company\'s Performance Improvement program as requested
Participate in company committees when applicable
Participate in in-service education programs provided by the company
Pursue continuing education programs appropriate to the job
Perform other duties as assigned
Responsible for completing all mandatory and regulatory training programs
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:
Drug test
Initial and continuous exclusion and sanction/disciplinary monitoring
Any and all additional eligibility requirements based on the specific position
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
Seniority level
Entry level
Employment type
Full-time
Job function
Accounting/Auditing and Finance
Industries
Pharmaceutical Manufacturing
Referrals increase your chances of interviewing at KPH HEALTHCARE SERVICES, INC by 2x
Get notified about new Biller jobs in
Oklahoma City, OK .
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr