Healthcare Enrollment and Revenue Specialist

3 weeks ago

Pittsburgh, United States Community LIFE Full time

Schedule: Mon-Fri, 8am-4:30pn

Location: Forest Hills, PA (15221)

Summary of Job Duties: The Healthcare Enrollment and Revenue Specialist (HERS) position will oversee the Medicaid portion of the revenue cycle by analyzing and auditing various Medicaid reports. This position requires an understanding of Medicaid with a Skilled Nursing Facility, Long Term Care Program or PACE Program. The HERS is also responsible for receiving Medicaid enrollment documentation, generating invoices, processing cash receipts, and monitoring and reconciling accounts receivable at a participant level for all Community LIFE participants. The HERS will ensure that Community LIFE is paid accurately for the participants' level of Medicaid and that their benefits are coordinated accordingly.

Required Education: High School Diploma or GED is required; Bachelor's Degree in Accounting or Finance is desirable.

Required Experience: Two years accounts receivable or Medicaid experience, specifically in a healthcare environment (Experience requirement waived for a Bachelor Degree in Accounting or Finance).

Required Skills/Knowledge/Abilities:

  • Knowledge of accounting practices and procedures.
  • Knowledge of Medicaid, particularly in Skilled Nursing Facility, Long Term Care, or PACE program
  • Detail Oriented
  • Good Organization Skills
  • Good Communication Skills
  • Team / Customer Oriented
  • Competency in Microsoft Office, specifically Excel

Desired or Preferred Knowledge, Skills and/or Abilities:

  • Experience reviewing PA 162 Forms
  • Experience using the Promise System
  • Experience using CMS MARX and HPMS systems
  • Experience using Sage 100c

Benefits: In addition to a competitive salary, Community LIFE offers a generous benefit package, including Medical, Dental and Vision insurance, Life insurance, Short Term & Long Term Disability insurance, 4 weeks Paid Time Off, Paid Holidays, Company contribution to a 403(b) retirement plan, Tuition Reimbursement, Mileage Reimbursement, Employee Appreciation events, and more

About Us: Community LIFE is a program of all-inclusive care for the elderly, committed to empowering older adults to remain at home while preserving their dignity, independence and quality of life.Our program brings the region's experts in geriatric medicine and care together to work as a team in specialized Day Centers, to help older adults enjoy the highest quality of life possible. Our professionals are committed to keeping older adults independent, and in their homes. Our wide range of services are designed to meet the varied needs of seniors, and include medical care, social services, meals, activities, transportation and much more.

Compensation details: 21-24 Hourly Wage

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