Infusion Biller / Revenue Cycle Management Specialist

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

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

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Job Locations US-OH-Maumee

Posted Date 2 years ago (10/24/2024 10:29 AM)

Requisition ID 2024-13362

# of Openings 1

Category Accounting/Finance

Location : Location US-OH-Maumee

Min USD $21.00/Hr.

Max USD $21.50/Hr.