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 :

Credential / Licensure Required :

Special Conditions of Employment :

Drug test

Initial and continuous exclusion and sanction / disciplinary monitoring

Any and all additional eligibility requirements based on the specific position

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

Connect With Us! ()

Job Locations US-OH-Maumee

Posted Date 1 year 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.