Senior Revenue Cycle Specialist
2 weeks ago
We are a leading home healthcare company dedicated to providing exceptional care and services to our patients. Our mission is to take every opportunity to do right by all, and we believe our people and culture are the foundation for our leadership in the healthcare space.
Job SummaryWe are seeking a highly skilled Senior Revenue Cycle Specialist to join our team. The successful candidate will provide guidance and direction to our Revenue Cycle Management (RCM) team, ensuring the timely and accurate reimbursement of receivables.
Key Responsibilities- Provide leadership and guidance to the RCM team, ensuring the coordination of claim activities and designated agencies.
- Review and bill all secondary and tertiary insurances to correct charges, bill forms, and supporting documentation.
- Achieve and maintain net collections and outstanding receivables goals as defined by company objectives.
- Identify trends related to denials/coding and delinquent claims, and communicate effectively with client managers for feedback.
- Identify system/payer issues, such as rates, codes, setup, and coordinate accordingly.
- Report status of accounts and issues to appropriate supervisors and departments, maintaining full transparency of accounts.
- Follow requirements through the full cycle until accounts are satisfied, including patient collections and appeals.
- Document, process, and coordinate all write-offs and adjustments as needed.
- Work with the contracting team and management to resolve payer issues.
- Work with branches for all questions on accounts.
- Troubleshoot system issues and work to resolve issues.
- Responsible for ongoing process improvement.
- Coordinate coverage and cross-training for the team.
- Attend regular meetings with teams and management to ensure open communication.
- Ongoing training and mentorship with the team.
- Handle critical accounts and projects, coordinating with management, operations, and payers to ensure issues are resolved.
- Lead AR meetings with management, branches, and staff as required.
- Oversee projects for the full cycle of gathering data to submission and resolution from payor.
- Gather data and trends to report to leadership for delays in payments and collections issues.
- Act as a resource for existing locations for RCM team.
- Lead research of new locations, acquisitions, and work to ensure timely billing and collections for these locations.
- Train RCM staff for new locations and acquisitions to ensure accuracy and knowledge of the team.
- High School diploma
- 2+ years of medical collections experience
- Medical, dental, and vision insurance
- 401K
- Environment that fosters career opportunities and growth
- DailyPay
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