Revenue Cycle Billing Specialist: Precision & Claims

KPH Healthcare Services; Hoffman Estates (IL); On-site; USD 42,000 - 65,000; Full time

Job summary

KPH Healthcare Services is seeking a Revenue Cycle Management Specialist - Biller in Illinois. The role focuses on accurate and timely claim creation and submission for third-party payers, with emphasis on billing accuracy and issue resolution.

Responsibilities include submitting claims, verifying codes and amounts, following up on rejections, and communicating with patients on billing matters. The position requires 1–3 years in Home Infusion or Specialty Pharmacy billing and strong Excel skills.

Qualifications

• High school diploma or GED.
• 1–3 years of experience in home infusion or specialty pharmacy billing.
• Ability to read and interpret medical records for billing purposes.
• Proficient in CPT/HCPCS/ICD-10 coding.
• Knowledge of HIPAA and patient privacy requirements.
• Experience with pharmacy billing systems and MS Office.

Responsibilities

• Accurately prepare and submit claims for payment from all payers.
• Verify documentation aligns with prepared claims.
• Verify accuracy of billed codes and amounts.
• Resolve billing issues and resubmit claims as needed.
• Follow up on submitted claims and resolve rejections.
• Prepare and submit patient statements.
• Communicate billing issues to patients and assist with financial hardship applications.
• Maintain current and accurate records across departments.
• Support improvement initiatives for billing processes.
• Ensure compliance with laws and accreditation standards.
• Participate in surveys and performance improvement activities.
• Complete mandatory regulatory training.

Skills

Reading medical records

Mathematical calculations

Unit conversions

CPT/HCPCS/ICD-10

HIPAA compliance

Excel/Outlook

Billing systems

Attention to detail

Communication skills

Self-directed

Education

High school diploma or GED

Tools

CPR+

Wellsky

CareTend

Job description

KPH Healthcare Services is seeking a Revenue Cycle Management Specialist - Biller in Illinois. The role focuses on accurate and timely claim creation and submission for third-party payers, with emphasis on billing accuracy and issue resolution.

Responsibilities include submitting claims, verifying codes and amounts, following up on rejections, and communicating with patients on billing matters. The position requires 1–3 years in Home Infusion or Specialty Pharmacy billing and strong Excel skills.