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KPH HEALTHCARE SERVICES, INC · 2 weeks ago

Biller / Revenue Cycle Management Specialist

Maumee, OH

Full-time

Onsite

Entry Level

1+ years exp

KPH Healthcare Services, Inc is focused on supporting the billing function within the healthcare sector. The Revenue Cycle Management Specialist will assist in claims processing, billing issues resolution, and ensure compliance with relevant regulations.

Health CareMedicalPharmaceutical

Responsibilities

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 for patient co-payments

Support the resolution of billing issues such as claim resubmissions to all payers, changes in coverage, and claims

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-party payer 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 surveys conducted 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 programs

Perform other duties as assigned