Biller / Revenue Cycle Management Specialist - Health Direct
Hoffman Estates, IL 60169
About the Job
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
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.
Source : Health Direct