Infusion Biller / Revenue Cycle Management Specialist

Responsibilities

• Report any misconduct, suspicious or unethical activities to the Compliance
• Ensure verification of current coverage with third party payers and obtain authorizations as
• Aid 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 overpayments.
• Aid 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 activities
• 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

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