Easter Seals Jobs

Overview

Job Summary: The Revenue Cycle Management Specialist- Biller responsibility is to manage the process of the company's billing function including accurate and timely claim creation and submission.

Responsibilities

• Accurately prepare and submitclaims for paymentfrom allthird-party payers in a timely manner.

• Verify documentation of supplied products align with prepared claim.

• Verify accuracy of billed codes and accuracy of billed and expected amounts.

• Support theresolutionofbilling issuessuch asclaim resubmissions toallpayers, changes incoverage,andclaims

• Follow up on submitted claims and resolve rejected claims, including claim corrections, update payer ID, update patient insurance record, etc.

• Prepare and submit patient statements.

• Communicateasneededwithpatients about billing issues,including theresults ofapplications for financial hardshipassistanceand other responses tocustomerinquiries about

• Support accurate and comprehensive record-keeping to ensure up-to-date information is maintained and effectively shared across departments.

• Assist in the implementation of processesto measure,assess,and improve the performance of the billing departmentactivities of thecompany.

• 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

• Complete all mandatory and regulatory training programs.

• Reportanymisconduct,suspicious orunethicalactivitiesto the Compliance

• Complies with accepted professional standards and practice.

Qualifications

Educational Requirements:

• High school diploma or GED

Experience:

• One to three years of experience in Home Infusion or Specialty Pharmacy billing.

Job Skill Requirements:

• Ability to read and interpret medical records for billing purposes.

• Competent in mathematic equations.

• Ability to compute unit conversions for drugs.

• Understanding of CPT, HCPCS, and ICD-10 codes

• Has excellent attention to detail and communication skills.

• Understanding of HIPAA compliance.

• Self-directed, has the ability to work with little supervision.

• Proficiency in Excel, Outlook, and all other office applications.

• Familiarity with pharmacy management systems (CPR+, Wellsky, and CareTend, etc.)

• Familiar with billing requirements for various payers (Medicare, Medicaid, Commercial, etc.)

• Knowledge and experience submitting pharmacy and medical claims electronically or on paper.

Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13804/revenue-cycle-management-specialist---billing/job?mode=apply&apply=yes&in_iframe=1&hashed=-336031866)

Job Locations US-OK-Oklahoma City | US-IL-Hoffman Estates | US-OH-Maumee | US-TX-Longview | US-NC-Greensboro | US-TX-Dallas | US-TX-Houston | US-MO-Kansas City

Posted Date 3 days ago (2/14/2025 11:55 AM)

Requisition ID 2025-13804

# of Openings 1

Category Accounting/Finance

Location : Location US-OK-Oklahoma City