Infusion Biller / Revenue Cycle Management Specialist

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    "description": "<h2>Overview</h2>\n<p><strong>Job Summary: </strong>The Revenue Cycle Management Specialist is to support the process of the company's billing function.</p>\n<h2>Responsibilities</h2>\n<p><strong>Job Duties:</strong></p>\n<ul>\n <li>Report any misconduct, suspicious or unethical activities to the Compliance </li>\n <li>Ensure verification of current coverage with third party payers and obtain authorizations as </li>\n <li>Assist in the preparation and submission of claims for payment from third party payers, and invoices for patient co-payments.</li>\n <li>Support the resolution of billing issues such as claim resubmissions to all payers, changes in coverage, and claims </li>\n <li>Communicate as required with patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries about </li>\n <li>Review and approve refunds of third-party payer and patient overpayments.</li>\n <li>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 </li>\n <li>Ensure the implementation of processes to measure, assess, and improve the performance of the billing department activities of the company.</li>\n <li>Review and suggest changes to billing department policies and procedures as needed.</li>\n <li>Ensure ongoing compliance with all laws and regulations; ensure that the department meets or exceeds accreditation standards; and implement \"best practices\" in all departmental \\</li>\n <li>Participate in surveys conducted by authorized inspection </li>\n <li>Participate in the company's Performance Improvement program as requested by the Performance Improvement </li>\n <li>Participate in company committees when </li>\n <li>Participate in in-service education programs provided by the company.</li>\n <li>Pursue continuing education programs appropriate to job </li>\n <li>Perform other duties as assigned by </li>\n <li>Responsible for completing all mandatory and regulatory training programs</li>\n <li>Perform other duties as assigned</li>\n</ul>\n<h2>Qualifications</h2>\n<p><strong>Educational Requirements:</strong></p>\n<ul>\n <li>High school diploma or GED</li>\n</ul>\n<p><strong> </strong></p>\n<p><strong>Experience:</strong></p>\n<ul>\n <li>One to three years of experience in Home Nursing/Services or related organization</li>\n</ul>\n<p> </p>\n<p><strong>Credential/Licensure Required:</strong></p>\n<ul>\n <li>Must be a licensed driver with an automobile that is insured in accordance with state and agency requirements and is in good working order</li>\n</ul>\n<p> </p>\n<p><strong>Job Skill Requirements:</strong></p>\n<ul>\n <li>Complies with accepted professional standards and practice </li>\n <li>Has satisfactory references from current employers and professional peers</li>\n <li>Has excellent observation and communication skills</li>\n <li>Is self-directed with the ability to work with little supervision</li>\n <li>Is flexible and cooperative in fulfilling obligations</li>\n</ul>\n<p><strong> </strong></p>",
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