Biller/Revenue Cycle Management Specialist Job Maumee area,Ohio USA,Healthcare

Position: 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.

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.

Review and approve refunds of third-party payer and patient over payments.

Assist in record keeping so that all information is accurate and complete and manage the flow of up-to-date information between the billing department and other parts of the company, such as 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 activities.

Participate in surveys conducted by authorized inspection bodies.

Participate in the company's Performance Improvement program as requested.

Participate in company committees as needed.

Participate in in-service education programs provided by the company.

Pursue continuing education programs appropriate to the job.

Perform other duties as assigned.

Responsible for completing all mandatory and regulatory training programs.

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.

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.

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Biller​/Revenue Cycle Management Specialist

Biller/Revenue Cycle Management Specialist