Revenue Cycle Management Specialist - Collections
KPH Healthcare ServicesLongview, Texas, United States
Posted February 15, 2025
Full Time
About the Company
KPH Healthcare Services, Inc. is a national provider of pharmaceutical and healthcare services, offering a range of products and services across retail and commercial segments. The company comprises four divisions: Kinney Drugs with 98 full-service drug stores in New York and Vermont; HealthDirect Institutional Pharmacy Services for long-term care needs; ProAct, Inc., a pharmacy benefit management company with mail order pharmacy; and Noble Health Services, specializing in complex and chronic disease medications. KPH's diversified portfolio positions it as a comprehensive solution provider in the healthcare industry.
Job Description
This Revenue Cycle Management Specialist-Collections role is responsible for ensuring timely collection of outstanding balances, including contacting insurance companies, patients, and other responsible parties. The role involves investigating denied claims, collaborating with teams, and utilizing billing software. The position seeks to improve collection rates and compliance.
Requirements
- Manage the collection process for outstanding claims.
- Investigate and resolve denied or partially paid claims.
- Collaborate with internal teams to address claims challenges.
- Utilize billing software to maintain accurate records.
- Submit appeals/claim corrections as needed.
Benefits
- Competitive Salary