Revenue Cycle Specialist - The Planet Group

The Revenue Cycle Specialist is responsible for handling related Billing, AR Management, Cash and Credit processing for all services provided to Sage patients. 

JOB FUNCTIONS: 

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  Promote and practice our mission of, “To provide the most compassionate, comprehensive, and qualified care to people with a life-limiting illness to serve them through their individual journey with dignity, respect, and integrity” 
  
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  Responsible for submission of Notice of Elections to Medicare and Medicare VBid programs 
  
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  Responsible for the submission/resubmission of bills to all payors; including, but not limited to: Medicare, Medicaid, and Commercial Insurances in accordance with payor requirements and organization policies. 
  
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  Works denied/rejected claims via payor portals, HCHB Workflow, etc. to ensure payment is received. 
  
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  Responsible to work the Accounts Receivable based upon age and dollar amount. Provides Sr Director of Rev Cycle monthly report regarding overall aging issues, specific accounts at risk, etc. 
  
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  In conjunction with Manager, facilitates monthly review meeting with Branches to discuss AR, Risk accounts and any accounts which require assistance. 
  

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  Resolves credit balances on accounts receivable in accordance with Payor policies and requirements. Uploads quarterly Credit reporting to Medicare. 
  
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  Participates in the updating and maintenance of HCHB Charge Master 
  
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  Always maintains the confidentiality of patient and organizational information.  
  

REQUIREMENTS: 

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  High school diploma or equivalent experience is required. 
  
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  3+ years experience in Hospice Revenue Cycle 
  
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  Preferred working knowledge of Homecare Homebase 
  

SKILLS & KNOWLEDGE: 

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  Proficient in Microsoft Office suite
  
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  Critical thinking and problem-solving skills 
  
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  Maintain up-to-date knowledge of revenue cycle procedures and relevant rules and regulations