Revenue Cycle Specialist – Home Health

Springfield, MO | November 21, 2018

We are looking to hire an experienced Revenue Cycle Specialist in our Corporate Office located in Springfield, Missouri. We are seeking a high caliber individual interested in pursuing a rewarding career with a dynamic software company. The Revenue Cycle Specialist is responsible for providing quality billing services to HEALTHCAREfirst outsourced billing customers in a timely manner. This specialist must exercise accountability and professionalism in maintaining the high level of service our customers deserve. This role reports to the Manager of Home Health Billing Services.

Responsibilities:

  • Submit claims timely to Medicare, Medicaid and Private Payers for software clients and non-software clients.
  • Ensures that the claims processed correctly and were accepted by the payer.
  • Process adjustments and re-file claims as needed.
  • Member of a cohesive team that works to maintain the AR for HEALTHCAREfirst customers
  • Troubleshoot reimbursement issues and claim follow-up
  • Works at the established Productivity level
  • Builds relationships with clients regarding their billing needs and assist with claim resolutions as needed.
  • Addresses client concerns in a timely manner
  • Escalates unresolved customer grievances to the proper department, or management for further assessment.
  • Understanding of Medicare rules, regulations, billing codes
  • Maintain confidentiality and knowledge of HIPAA regulations
  • Performs other duties as assigned

Qualifications:

  • Minimum one year of progressive Home Health billing experience
  • Ability to work independently
  • Must be organized and able to multitask
  • Strong written and verbal communication skills
  • Ability to type, operate computers and office equipment
  • Aptitude for learning computer systems
  • Ability to perform basic bookkeeping and compile statistics as needed
  • Maintain a professional demeanor, courteous and flexible at all times
  • Open to dynamic change and ability to thrive in such an environment
  • Prior experience working with Medicare rules, regulations, billing codes (preferred)
  • Willingness and ability to work effectively with members of other departments
  • Education equivalent to a High school diploma, college degree preferred
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