RCM Specialist, Accounts Receivable

Help at Home is the leading national provider of in-home personal care services, where our mission is to enable individuals to live with independence and dignity at home. Our team supports 66,000 clients monthly with the help of 49,000 compassionate caregivers across 12 states. We’re focused on serving people and the communities we are part of.

Job Summary

The RCM Specialist, AR reports to the RCM Supervisor or Manager. This position performs g eneral data entry, keying, and bookkeeping tasks for the Revenue Cycle Management Department accounts receivable functions that require a high degree of attention to detail, and the ability to analyze and resolve routine problems.

As a Key Member Of The Team

• You are flexible and can embrace change
• You value progress over perfection
• You care about your work, the team you’re on, and the people we are helping
• You make it a priority to get to know the people around you – build relationships with your colleagues and business partners
• You say what needs to be said, while considering how it’ll affect culture and output
• Hold others to a high standard
  
  

Essential Duties And Responsibilities

• Submits claims to payors in accordance with payor requirements and agency policy.
• Receives notices of claim rejections & denials.
• Properly track and resolve issues to ensure claim payment.
• Maintains complete and accurate accounts receivable records.
• Performs troubleshooting for billing error codes.
• May work with the payer or branch operational team to identify and resolve issues.
• Maintains accurate billing analysis reports and communicates implications promptly to the appropriate parties.
• Analyzes daily reports from the state and matches the approved payments to the client.
• Alerts the Operations Team and Manager regarding late or missing documents required for billing.
• Assists with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting Manager regarding seriously overdue accounts.
• Produces reports as needed.
• Performs administrative duties such as sorting, scanning, filing, and emailing records.
• Performs other duties as assigned.
  
  

Required Skills/Abilities

• Self-motivated; reliable; strong attention to detail; maintains confidentiality; complies with all Company policies and procedures.
• Demonstrates excellent communication and customer service skills under duress at a fast pace; ability to function as a positive team member.
  
  

Education And Experience

• High School diploma or GED required.
• One (1) to two (2) years’ experience of revenue cycle management or billing experience in the healthcare field
• Knowledge of Medicaid/Managed Care Organization (MCO) billing practices
• Experience with billing in an Electronic Data Interchange/3 rd party clearinghouse environment.
• Intermediate to advanced computer skills, including the use of Microsoft Office applications
  
  

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.

Help At Home is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, or religion or other legally protected status.

Data Security and Privacy Statement

At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including HIPAA and SOX where applicable. Your data will only be used to assess your employment suitability and won't be shared with unauthorized parties.

We use strong security measures to protect your information from unauthorized access or disclosure. By submitting your application, you consent to this process. You can access, modify, or request deletion of your data by contacting us.

Employees must adhere to our data protection policies and legal requirements to safeguard sensitive information.