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/16058/revenue-cycle-management-specialist---billing/job?mode=apply≈ply=yes∈_iframe=1&hashed=-336031866) Software Powered by ICIMS Job Locations US-IL-Hoffman Estates Posted Date 43 minutes ago (8/12/2026 5:52 PM) Requisition

ID 2026-16058

# of Openings 1

Category Accounting/Finance Location :

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