"Alerted.org

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._