Revenue Cycle Specialist

Revenue Cycle Specialist

You can make a difference in the lives of others! At Heart to Heart Hospice, we provide "compassionate care from our hearts to yours." Our employees enhance the lives of patients with life-limiting illnesses and their loved ones, during a time when compassionate care is needed most. We are dedicated to making a difference in the lives of employees, offering the opportunity to be associated with caring teammates, and creating positive contributions in each community we serve.

What You Must Have

• High school diploma or its equivalent required; associate degree preferred
• Texas & Michigan Medicaid experience
• Multi-state experience, preferred
• Hospice billing experience. Must be knowledgeable of reimbursement processes and procedures
• Experience with HomeCare Homebase preferred
• Proficient in Microsoft Outlook, Word, Excel, PowerPoint and computer literacy
• Organized work habits, accuracy, and proven attention to detail, with strong analytical skills

Full-Time Benefits

• Competitive pay
• Medical, dental & vision insurance
• Paid time off
• Paid holidays
• 401k with up to 4% employer matching
• Tuition reimbursement
• Company car for qualifying individuals
• Mileage reimbursement

What You Will Do:

• Accurately enter patient/client billing data, nursing home rates, level of care, per diem, and physician billing or charges, visit charges, fee for service charges, and verify discharge and admission data.
• Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing.
• Confirm and ensure accuracy of the data in EMR.
• Maintain tracking tools to ensure that all necessary information is secured for timely accurate payment. This includes eligibility, insurance verification, authorizations, certification and recertification, state required documentations for Medicaid and Room and Board payment.
• Timely submission of all documentation
• Conduct all business activities in a professional and ethical manner
• Performance of other duties as required
• Ensure overall compliance with local, state and federal laws, Medicare regulations, and established personnel policies and procedures

It is this agency's policy to provide equal employment opportunities without regard to age, race, color, religion, military status, gender preference, sex, marital status, national origin or disability.