Job Details
**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:**
+ 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** **.**
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**Job Locations** _US-IL-Hoffman Estates_
**Posted Date** _4 months ago_ _(11/22/2023 8:06 PM)_
**_Requisition ID_** _2023-11456_
**_# of Openings_** _1_
**_Category_** _Accounting/Finance_
**_Location : Location_** _US-IL-Hoffman Estates_
**_Min_** _USD $21.00/Hr._
**_Max_** _USD $21.50/Hr._