KPH HEALTHCARE SERVICES, INC · 2 months ago
Specialty Billing Clerk
US-NY-Gouverneur
Full-time
Onsite
Entry Level
$17/hr - $18.50/hr
2+ years expKPH Healthcare Services, Inc. is a multistate organization focused on healthcare services, and they are seeking a Specialty Billing Clerk. The role involves assisting in the billing and cash application for various claims, managing accounts receivable, and helping with collection efforts for medical copays.
Health CareMedicalPharmaceutical
Responsibilities
Manual billing and payment application for secondary insurances, Noble Medical Billing Claims, home infusion claims, and DME claims
Oversight of the electronic payment application for Medicare
Help complete any Medicare audits, medical records requests, and appeals and monitor the outcomes
Reconcile Medicare, Noble, Aristacare, and Kinney Homecare statements and assist in collection calls
Process check requests for customer and insurance company refunds
Create accounts and use various applications to move balances for customers with denied charges
Assist in the rebilling of Medicaid/Medicare, Aristacare, and Kinney Homecare claims
Interact with KPH Employees (Store and Corporate) and various outside agencies
Responsible for completing all mandatory and regulatory training programs
Perform other duties as assigned
Qualification
Required
High School Diploma
Works under minimal supervision
Responsible for orienting and training new employees
Assist in billing and cash application of Medicaid/Medicare/DME/Home Infusion claims
Manage open accounts receivable which requires rebilling within timely filing limits
Inquiries to various insurance companies and inquiries to customers
Help with collection efforts of medical copays and Medicare copays from customers
Manual billing and payment application for secondary insurances, Noble Medical Billing Claims, home infusion claims, and DME claims
Oversight of the electronic payment application for Medicare
Help complete any Medicare audits, medical records requests, and appeals and monitor the outcomes
Reconcile Medicare, Noble, Aristacare, and Kinney Homecare statements and assist in collection calls
Process check requests for customer and insurance company refunds
Create accounts and use various applications to move balances for customers with denied charges
Assist in the rebilling of Medicaid/Medicare, Aristacare, and Kinney Homecare claims
Interact with KPH Employees (Store and Corporate) and various outside agencies
Responsible for completing all mandatory and regulatory training programs
Perform other duties as assigned
Initial and continuous exclusion and sanction/disciplinary monitoring
Drug Test
Preferred
AS Degree or Higher in Business Administration or related field
2 years Medicaid, Medicare and medical billing experience
General knowledge of Accounting, Insurance processing and/or Pharmacy Store Operations
Company
KPH HEALTHCARE SERVICES, INC
KPH Healthcare Services, Inc.
Founded in 1903East Syracuse, New York, USA
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase