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 :

• 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

Qualifications

Educational Requirements :

Experience :

Credential / Licensure Required :

Special Conditions of Employment :

Job Skill Requirements :