Job Description
KPH Healthcare Services
RCM Specialist - Collections
KPH Healthcare Services • Hoffman Estates, IL, United States • via Indeed
12 days ago
Full–time
No Degree Mentioned
Apply directly on Indeed
Apply on ZipRecruiter
Apply on Glassdoor
Apply directly on KPH Healthcare Services - ICIMS
Apply on Monster
Apply on Teal
Apply on Nodeskcareers.com
Apply on Career.com Career.com
Qualifications
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, ICD-10, and NDC codes
Diligent attention to detail
Excellent verbal and written communication
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.)
Understanding of various insurance plan benefits, payer payment policies, and reimbursement procedures
Deep understanding of home infusion process, therapies, and related services
Ability to understand payer explanation of benefits
High school diploma or GED
One to three years of experience in Home Infusion or Specialty Pharmacy collections
Responsibilities
The Revenue Cycle Management Specialist- Collections responsibility is to ensure timely collection of outstanding balances
Manage the collection process for outstanding claims, including contacting insurance companies, patients, and other responsible parties via phone, email, and written correspondence
Investigate and resolve denied or partially paid claims, identifying root causes and implementing corrective actions
Collaborate with internal teams to address claims challenges and improve revenue cycle
Escalate complex or uncollectible accounts to management for further action
Submit appeals/claim corrections as needed within timely filing limits
Utilize billing software to maintain accurate and detailed records of all collection activities, including communication with payers and patients
Payer projects as assigned
Identify and report trends in claim denials and payment challenges
Communicate as needed with patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries 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 processes to measure, assess, and improve the performance of the RCM department activities of the company
Ensure ongoing compliance with all laws and regulations; ensure that the department meets or exceeds accreditation standards; and implement "best practices" in all departmental
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 by
Complete all mandatory and regulatory training programs
Report any misconduct, suspicious or unethical activities to the Compliance
Complies with accepted professional standards and practice
Job description
Overview:
The Revenue Cycle Management Specialist- Collections responsibility is to ensure timely collection of outstanding balances.
Responsibilities:
• Manage the collection process for outstanding claims, including contacting insurance companies, patients, and other responsible parties via phone, email, and written correspondence.
• Investigate and resolve denied or partially paid claims, identifying root causes and implementing corrective actions.
• Collaborate with internal teams to address claims challenges and improve revenue cycle.
• Escalate complex or uncollectible accounts to management for further action.
• Submit appeals/claim corrections as needed within timely filing limits.
• Utilize billing software to maintain accurate and detailed records of all collection activities, including communication with payers and patients.
• Payer projects as assigned.
• Identify and report trends in claim denials and payment challenges.
• Communicate as needed with patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries 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 processes to measure, assess, and improve the performance of the RCM department activities of the company.
• Ensure ongoing compliance with all laws and regulations; ensure that the department meets or exceeds accreditation standards; and implement "best practices" in all departmental
• 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 by
• Complete all mandatory and regulatory training programs.
• Report any misconduct, suspicious or unethical activities to the Compliance
• Complies with accepted professional standards and practice.
Qualifications:
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, ICD-10, and NDC codes
• Diligent attention to detail.
• Excellent verbal and written communication.
• 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.)
• Understanding of various insurance plan benefits, payer payment policies, and reimbursement procedures.
• Deep understanding of home infusion process, therapies, and related services.
• Ability to understand payer explanation of benefits.
Educational Requirements:
• High school diploma or GED
Experience:
• One to three years of experience in Home Infusion or Specialty Pharmacy collections.
Report this listing
KPH Healthcare Services
Glassdoor
2.+/5
27 reviews
Indeed
2.4/5
62 reviews
Zippia
2.+/5
7 reviews
kphhealthcareservices.com
More jobs at KPH Healthcare Services
See web results for KPH Healthcare Services
Vantage Risk Companies
Insurance Accounting Manager
Vantage Risk Companies • Chicago, IL, United States • via LinkedIn
13 days ago
$1.25L–$1.35L a year
Full–time
Apply on LinkedIn
Apply on Jobgether
Apply directly on PCRecruiter
Apply on Dayforce
Qualifications
Bachelor's Degree in Accounting or Finance
Over 5 years of experience in insurance accounting or a similar financial management role
Advanced Excel skills; familiarity with Power BI, Word, and PowerPoint
+ more items(s)
Benefits
The base salary expectation for this role is between $125,000 and $135,000
Actual base salary for the selected candidate may be higher commensurate with candidate experience and expectations
Additionally, Vantage offers its colleagues performance-based bonus potential, strong health & welfare benefits, retirement plans with company match, competitive time off plans, a highly flexible work environment, and much more
Responsibilities
The Insurance Accounting Manager is responsible for overseeing and managing the day-to-day insurance accounting operations, ensuring accurate financial reporting, compliance with regulatory standards, and efficient management of accounting processes
The Insurance Accounting Manager will report to the VP of Insurance Finance and is an integral part of the Insurance Finance team
This role involves supervising a senior accountant, analyzing financial data, and working collaboratively with other departments to support the company's financial goals
10 more items(s)
More job highlights
Job description
About the Company
Vantage Group Holdings Ltd. (Vantage) was established in late 2020 as a re/insurance partner designed for the future. Driven by relentless curiosity, our team of trusted experts provides a fresh perspective on our clients’ risks. We add creativity to tech-enabled efficiency and robust analytics to address risks others avoid. Vantage provides specialty re/insurance through its operating subsidiaries in Bermuda and the U.S.
Vantage has approximately 340 colleagues in both the United States and Bermuda. We have offices in Chicago, IL, Norwalk, CT, Alexandria, VA, Boston, MA, New York, NY and Hamilton, Bermuda. Additionally, we are a highly geographically diverse workforce with colleagues based in 25 states and counting. We fully support work flexibility including remote and hybrid work arrangements.
About the role:
The Insurance Accounting Manager is responsible for overseeing and managing the day-to-day insurance accounting operations, ensuring accurate financial reporting, compliance with regulatory standards, and efficient management of accounting processes. The Insurance Accounting Manager will report to the VP of Insurance Finance and is an integral part of the Insurance Finance team. This role involves supervising a senior accountant, analyzing financial data, and working collaboratively with other departments to support the company's financial goals.
The base salary expectation for this role is between $125,000 and $135,000. Actual base salary for the selected candidate may be higher commensurate with candidate experience and expectations. Additionally, Vantage offers its colleagues performance-based bonus potential, strong health & welfare benefits, retirement plans with company match, competitive time off plans, a highly flexible work environment, and much more.
Responsibilities & Accountabilities:
• Manage and oversee the monthly and quarterly close process including, preparation and review of detailed journal entries and account reconciliations.
• Preparation, review and analysis of the Company’s quarterly and annual financial statements and footnotes, in accordance with GAAP and STAT in conjunction with the Company’s NAIC filings.
• Ensure compliance with industry regulations and accounting principles, including GAAP or STAT, as applicable.
• Assists in the design, documentation and implementation of processes and controls to maintain a strong control environment.
• Coordinate and manage the preparation of regulatory reports and filings.
• Collaborate with various departments across the company, including but not limited to the data, legal, claims, and underwriting teams.
• Collaborate with auditors and regulatory bodies during audits and examinations.
• Identify and implement process improvements to enhance efficiency and effectiveness in accounting operations.
• Supervise and develop staff by managing performance, setting goals, providing ongoing training and maintaining strong employee relationships.
• Performs other activities, duties and assignments as needed or requested.
Ideal Candidate Profile:
• Bachelor's Degree in Accounting or Finance.
• Over 5 years of experience in insurance accounting or a similar financial management role.
• CPA or equivalent certification preferred but not required.
• Advanced Excel skills; familiarity with Power BI, Word, and PowerPoint.
• Strong knowledge of insurance industry regulations and accounting standards.
• Familiarity with accounting software; experience with Oracle a plus.
• Statutory reporting experience required, experience with Gain Compliance a plus.
• Excellent analytical, organizational, and problem-solving skills.
• Strong leadership and team management abilities.
• Strong sense of accountability, comfortable making recommendations and taking accountability for outcomes.
• Enthusiasm for working in a fast-paced, dynamic, growth-oriented environment.
• Ability to work across department functions and locations.
Our Vantage Values
Do What’s Right – be a force for good, for our customers, shareholders, colleagues, industry and communities.
Be Relentlessly Curious – ask questions, listen to understand, challenge the status quo, look for ways to say YES, drive innovation, be opportunistic and disciplined.
We’re Better Together – collaborate, be inclusive, supportive, respectful and humble, be a trusted partner internally and externally.
Be Transparent – in who you are, what you think, and how you work, seek and provide alternative points of view, be true to yourself.
Make A Difference – focus on impact, embrace technology, leverage data and analytics as critical assets, act intentionally to deliver on our mission.
RCM Specialist - Collections
KPH Healthcare Services • Hoffman Estates, IL, United States • via Indeed
12 days ago
Full–time
No Degree Mentioned
Apply directly on Indeed
Apply on ZipRecruiter
Apply on Glassdoor
Apply directly on KPH Healthcare Services - ICIMS
Apply on Monster
Apply on Teal
Apply on Nodeskcareers.com
Apply on Career.com Career.com
Qualifications
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, ICD-10, and NDC codes
Diligent attention to detail
Excellent verbal and written communication
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.)
Understanding of various insurance plan benefits, payer payment policies, and reimbursement procedures
Deep understanding of home infusion process, therapies, and related services
Ability to understand payer explanation of benefits
High school diploma or GED
One to three years of experience in Home Infusion or Specialty Pharmacy collections
Responsibilities
The Revenue Cycle Management Specialist- Collections responsibility is to ensure timely collection of outstanding balances
Manage the collection process for outstanding claims, including contacting insurance companies, patients, and other responsible parties via phone, email, and written correspondence
Investigate and resolve denied or partially paid claims, identifying root causes and implementing corrective actions
Collaborate with internal teams to address claims challenges and improve revenue cycle
Escalate complex or uncollectible accounts to management for further action
Submit appeals/claim corrections as needed within timely filing limits
Utilize billing software to maintain accurate and detailed records of all collection activities, including communication with payers and patients
Payer projects as assigned
Identify and report trends in claim denials and payment challenges
Communicate as needed with patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries 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 processes to measure, assess, and improve the performance of the RCM department activities of the company
Ensure ongoing compliance with all laws and regulations; ensure that the department meets or exceeds accreditation standards; and implement "best practices" in all departmental
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 by
Complete all mandatory and regulatory training programs
Report any misconduct, suspicious or unethical activities to the Compliance
Complies with accepted professional standards and practice
Job description
Overview:
The Revenue Cycle Management Specialist- Collections responsibility is to ensure timely collection of outstanding balances.
Responsibilities:
• Manage the collection process for outstanding claims, including contacting insurance companies, patients, and other responsible parties via phone, email, and written correspondence.
• Investigate and resolve denied or partially paid claims, identifying root causes and implementing corrective actions.
• Collaborate with internal teams to address claims challenges and improve revenue cycle.
• Escalate complex or uncollectible accounts to management for further action.
• Submit appeals/claim corrections as needed within timely filing limits.
• Utilize billing software to maintain accurate and detailed records of all collection activities, including communication with payers and patients.
• Payer projects as assigned.
• Identify and report trends in claim denials and payment challenges.
• Communicate as needed with patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries 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 processes to measure, assess, and improve the performance of the RCM department activities of the company.
• Ensure ongoing compliance with all laws and regulations; ensure that the department meets or exceeds accreditation standards; and implement "best practices" in all departmental
• 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 by
• Complete all mandatory and regulatory training programs.
• Report any misconduct, suspicious or unethical activities to the Compliance
• Complies with accepted professional standards and practice.
Qualifications:
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, ICD-10, and NDC codes
• Diligent attention to detail.
• Excellent verbal and written communication.
• 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.)
• Understanding of various insurance plan benefits, payer payment policies, and reimbursement procedures.
• Deep understanding of home infusion process, therapies, and related services.
• Ability to understand payer explanation of benefits.
Educational Requirements:
• High school diploma or GED
Experience:
• One to three years of experience in Home Infusion or Specialty Pharmacy collections.
Report this listing
KPH Healthcare Services
Glassdoor
2.+/5
27 reviews
Indeed
2.4/5
62 reviews
Zippia
2.+/5
7 reviews
kphhealthcareservices.com
More jobs at KPH Healthcare Services
See web results for KPH Healthcare Services
Vantage Risk Companies
Insurance Accounting Manager
Vantage Risk Companies • Chicago, IL, United States • via LinkedIn
13 days ago
$1.25L–$1.35L a year
Full–time
Apply on LinkedIn
Apply on Jobgether
Apply directly on PCRecruiter
Apply on Dayforce
Qualifications
Bachelor's Degree in Accounting or Finance
Over 5 years of experience in insurance accounting or a similar financial management role
Advanced Excel skills; familiarity with Power BI, Word, and PowerPoint
+ more items(s)
Benefits
The base salary expectation for this role is between $125,000 and $135,000
Actual base salary for the selected candidate may be higher commensurate with candidate experience and expectations
Additionally, Vantage offers its colleagues performance-based bonus potential, strong health & welfare benefits, retirement plans with company match, competitive time off plans, a highly flexible work environment, and much more
Responsibilities
The Insurance Accounting Manager is responsible for overseeing and managing the day-to-day insurance accounting operations, ensuring accurate financial reporting, compliance with regulatory standards, and efficient management of accounting processes
The Insurance Accounting Manager will report to the VP of Insurance Finance and is an integral part of the Insurance Finance team
This role involves supervising a senior accountant, analyzing financial data, and working collaboratively with other departments to support the company's financial goals
10 more items(s)
More job highlights
Job description
About the Company
Vantage Group Holdings Ltd. (Vantage) was established in late 2020 as a re/insurance partner designed for the future. Driven by relentless curiosity, our team of trusted experts provides a fresh perspective on our clients’ risks. We add creativity to tech-enabled efficiency and robust analytics to address risks others avoid. Vantage provides specialty re/insurance through its operating subsidiaries in Bermuda and the U.S.
Vantage has approximately 340 colleagues in both the United States and Bermuda. We have offices in Chicago, IL, Norwalk, CT, Alexandria, VA, Boston, MA, New York, NY and Hamilton, Bermuda. Additionally, we are a highly geographically diverse workforce with colleagues based in 25 states and counting. We fully support work flexibility including remote and hybrid work arrangements.
About the role:
The Insurance Accounting Manager is responsible for overseeing and managing the day-to-day insurance accounting operations, ensuring accurate financial reporting, compliance with regulatory standards, and efficient management of accounting processes. The Insurance Accounting Manager will report to the VP of Insurance Finance and is an integral part of the Insurance Finance team. This role involves supervising a senior accountant, analyzing financial data, and working collaboratively with other departments to support the company's financial goals.
The base salary expectation for this role is between $125,000 and $135,000. Actual base salary for the selected candidate may be higher commensurate with candidate experience and expectations. Additionally, Vantage offers its colleagues performance-based bonus potential, strong health & welfare benefits, retirement plans with company match, competitive time off plans, a highly flexible work environment, and much more.
Responsibilities & Accountabilities:
• Manage and oversee the monthly and quarterly close process including, preparation and review of detailed journal entries and account reconciliations.
• Preparation, review and analysis of the Company’s quarterly and annual financial statements and footnotes, in accordance with GAAP and STAT in conjunction with the Company’s NAIC filings.
• Ensure compliance with industry regulations and accounting principles, including GAAP or STAT, as applicable.
• Assists in the design, documentation and implementation of processes and controls to maintain a strong control environment.
• Coordinate and manage the preparation of regulatory reports and filings.
• Collaborate with various departments across the company, including but not limited to the data, legal, claims, and underwriting teams.
• Collaborate with auditors and regulatory bodies during audits and examinations.
• Identify and implement process improvements to enhance efficiency and effectiveness in accounting operations.
• Supervise and develop staff by managing performance, setting goals, providing ongoing training and maintaining strong employee relationships.
• Performs other activities, duties and assignments as needed or requested.
Ideal Candidate Profile:
• Bachelor's Degree in Accounting or Finance.
• Over 5 years of experience in insurance accounting or a similar financial management role.
• CPA or equivalent certification preferred but not required.
• Advanced Excel skills; familiarity with Power BI, Word, and PowerPoint.
• Strong knowledge of insurance industry regulations and accounting standards.
• Familiarity with accounting software; experience with Oracle a plus.
• Statutory reporting experience required, experience with Gain Compliance a plus.
• Excellent analytical, organizational, and problem-solving skills.
• Strong leadership and team management abilities.
• Strong sense of accountability, comfortable making recommendations and taking accountability for outcomes.
• Enthusiasm for working in a fast-paced, dynamic, growth-oriented environment.
• Ability to work across department functions and locations.
Our Vantage Values
Do What’s Right – be a force for good, for our customers, shareholders, colleagues, industry and communities.
Be Relentlessly Curious – ask questions, listen to understand, challenge the status quo, look for ways to say YES, drive innovation, be opportunistic and disciplined.
We’re Better Together – collaborate, be inclusive, supportive, respectful and humble, be a trusted partner internally and externally.
Be Transparent – in who you are, what you think, and how you work, seek and provide alternative points of view, be true to yourself.
Make A Difference – focus on impact, embrace technology, leverage data and analytics as critical assets, act intentionally to deliver on our mission.
💡 Quick Summary
Seeking a career-building opportunity? The Insurance Accounting Manager position is now open for candidates interested in the Work from home Jobs sector. This role in Abanda offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Work from home Jobs is a plus.
