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Overview

**Job Summary:** The Revenue Cycle Management Specialist- Biller responsibility is to manage the process of the company's billing function including accurate and timely claim creation and submission.

Responsibilities

+ Accurately prepare and submitclaims for paymentfrom allthird-party payers in a timely manner.

+ Verify documentation of supplied products align with prepared claim.

+ Verify accuracy of billed codes and accuracy of billed and expected amounts.

+ Support theresolutionofbilling issuessuch asclaim resubmissions toallpayers, changes incoverage,andclaims

+ Follow up on submitted claims and resolve rejected claims, including claim corrections, update payer ID, update patient insurance record, etc.

+ Prepare and submit patient statements.

+ Communicateasneededwithpatients about billing issues,including theresults ofapplications for financial hardshipassistanceand other responses tocustomerinquiries about

+ Support accurate and comprehensive record-keeping to ensure up-to-date information is maintained and effectively shared across departments.

+ Assist in the implementation of processesto measure,assess,and improve the performance of the billing departmentactivities of thecompany.

+ 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

+ Complete all mandatory and regulatory training programs.

+ Reportanymisconduct,suspicious orunethicalactivitiesto the Compliance

+ Complies with accepted professional standards and practice.

Qualifications

Educational Requirements:

+ High school diploma or GED

Experience:

+ One to three years of experience in Home Infusion or Specialty Pharmacy billing.

Job Skill Requirements:

+ Ability to read and interpret medical records for billing purposes.

+ Competent in mathematic equations.

+ Ability to compute unit conversions for drugs.

+ Understanding of CPT, HCPCS, and ICD-10 codes

+ Has excellent attention to detail and communication skills.

+ Understanding of HIPAA compliance.

+ Self-directed, has the ability to work with little supervision.

+ Proficiency in Excel, Outlook, and all other office applications.

+ Familiarity with pharmacy management systems (CPR+, Wellsky, and CareTend, etc.)

+ Familiar with billing requirements for various payers (Medicare, Medicaid, Commercial, etc.)

+ Knowledge and experience submitting pharmacy and medical claims electronically or on paper.

Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13804/home-infusion-billing-specialist/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866)

**Job Locations** _US-OK-Oklahoma City | US-IL-Hoffman Estates | US-OH-Maumee | US-TX-Longview | US-NC-Greensboro | US-TX-Dallas | US-TX-Houston | US-MO-Kansas City_

**Posted Date** _3 months ago_ _(2/14/2025 11:55 AM)_

**_Requisition ID_** _2025-13804_

**_\# of Openings_** _1_

**_Category_** _Accounting/Finance_

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