KPH Healthcare Services
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 forpatient co-payments.
Support the resolution of billing issues such as claim resubmissions to all payers, changes in coverage, andclaims 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-partypayer 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 surveysconducted 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 programsPerform 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 testInitial 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 peersHas excellent observation and communication skillsIs self-directed with the ability to work with little supervisionIs flexible and cooperative in fulfilling obligations Management Skills Required:
Customer Service:
Must provide timely and accurate responses to all business associates and customersPlanning:
Must develop effective plans, objectives and goals that achieve desired results in a timely mannerOrganization:
Must organize work in a systematic way, establish clear lines of responsibility, and delegate effectivelyCommunication:
Must write and speak clearly and effectively at all levels, listen and be attentive to othersDecision Making:
Analyze data and make and/or implement effective decisions in a timely mannerTechnology:
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 teamsPersonnel Development:
Selects, trains, coaches and develops associates and teams for peak performanceTeamwork:
Must strengthen team performance by sharing information, establishing guidelines and celebrating successEmpowerment:
Demonstrates positive and active ownership of one's responsibilities and fosters the same in othersEmployee 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 problemsAchievement Drive/Commitment:
Driven to achieve goals, objectives and results.
Fosters a culture of continuous improvementPositive/Supportive:
Inspires and shows faith in others, builds a positive and supportive work environmentFlexibility:
Ability to adapt to changing business needs.
To balance multiple priorities and deliver under pressureCompensation $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.
About the Company:
KPH Healthcare Services.
Estimated Salary: $20 to $28 per hour based on qualifications.
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 forpatient co-payments.
Support the resolution of billing issues such as claim resubmissions to all payers, changes in coverage, andclaims 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-partypayer 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 surveysconducted 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 programsPerform 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 testInitial 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 peersHas excellent observation and communication skillsIs self-directed with the ability to work with little supervisionIs flexible and cooperative in fulfilling obligations Management Skills Required:
Customer Service:
Must provide timely and accurate responses to all business associates and customersPlanning:
Must develop effective plans, objectives and goals that achieve desired results in a timely mannerOrganization:
Must organize work in a systematic way, establish clear lines of responsibility, and delegate effectivelyCommunication:
Must write and speak clearly and effectively at all levels, listen and be attentive to othersDecision Making:
Analyze data and make and/or implement effective decisions in a timely mannerTechnology:
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 teamsPersonnel Development:
Selects, trains, coaches and develops associates and teams for peak performanceTeamwork:
Must strengthen team performance by sharing information, establishing guidelines and celebrating successEmpowerment:
Demonstrates positive and active ownership of one's responsibilities and fosters the same in othersEmployee 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 problemsAchievement Drive/Commitment:
Driven to achieve goals, objectives and results.
Fosters a culture of continuous improvementPositive/Supportive:
Inspires and shows faith in others, builds a positive and supportive work environmentFlexibility:
Ability to adapt to changing business needs.
To balance multiple priorities and deliver under pressureCompensation $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.
About the Company:
KPH Healthcare Services.
Estimated Salary: $20 to $28 per hour based on qualifications.
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