• Biller / Revenue Cycle Management Specialist

    KPH Healthcare Services, Inc. (Oklahoma City, OK)


    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:

    + 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

     

    Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13363/biller---revenue-cycle-management-specialist/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866)

     

    **Job Locations** _US-OK-Oklahoma City_

    **Posted Date** _6 months ago_ _(10/24/2024 10:29 AM)_

    **_Requisition ID_** _2024-13363_

    **_\# of Openings_** _1_

    **_Category_** _Accounting/Finance_

    **_Location : Location_** _US-OK-Oklahoma City_

    **_Min_** _USD $21.00/Hr._

    **_Max_** _USD $21.50/Hr._