Revenue Cycle Specialist III, RCM

Overview :

You can apply by texting TSC to 97211

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Are you looking for an exciting opportunity with an expanding home health care company? Are you eager to prove yourself, be valued and grow? It is in your best interest to apply and hear more about what we have to offer!

Team Selects mission is to take every opportunity to do right by all. We believe our people and culture genuinely make us unique and are the foundation for our leadership in the healthcare space. We focus on promoting a collaborative environment that differentiates us and has allowed us to be recognized as a Best Place to Work and Home Care Elite Top Agency. Join our growing Team Select Family and discover a dynamic company where youre able to make a positive impact. We encourage you to inquire about becoming a part of our team!

Responsibilities :

Team Select Home Care is looking for a Revenue Cycle Lead to join our Team Select family. The Revenue Cycle Lead is a position that calculates and posts receipts to appropriate accounts, verifies details of transactions; perform billing, posting and collection of claims related to specific payers. The Revenue Cycle Lead reports directly to the Manager of Revenue Cycle Management (MRCM).

• Sort incoming mail daily and distributes mail accordingly.
• Scans and saves checks, remits and billing documents to correct locations.
• Monitor held billing and coordinate resolution of all issues.
• Resolve and prepare claims that have not passed the payer edits daily.
• Changes payer and rebills in EMR.
• Follow up on claim denials and ability to follow up on denials.
• Help with appeals.
• Submits of waiver requests.
• Enroll with payers for EFT / ERA submissions.
• Coordinate claim activities and designated agencies, and the reimbursement of receivables.
• Review and bills all secondary and tertiary insurances to correct charges, bill forms and supporting documentation (EOBs).
• Achieve and maintain net collections and outstanding receivables goals as defined by company goals.
• Identify trends related to denials / coding and delinquent claims and communicate with client manager for feedback to our clients.
• Identify system / payer issues such as rates, codes, set up and coordinate accordingly.
• Report status of accounts and issues to appropriate supervisors and departments maintains full transparency of accounts.
• Follow requirements through the full cycle until accounts are satisfied, including patient collections and appeals.
• Document, processes and coordinates all write offs and adjustments.
• Work with contracting team and management to resolve payer issues.
• Complete Provider enrollments for EFTs / ERAs.
• Coordinate coverage and cross training for the Team
• Ongoing training and mentorship with team.
• Set up payers in EMR and tests / tracks setup to ensure accuracy.
• Handle important accounts and projects, coordinating with management, operations, and payers to ensure issues are resolved.
• Lead AR meetings with management, branches and staff.
• Perform other tasks as assigned.

Qualifications :

Our Benefits :

Team Select Home Care reserves the right to change the above job description and qualifications without notice. Team Select Home Care will not discriminate against you on the basis of race, color, religion, national origin, sex, sexual preference, disability, political belief, veteran status, age or any other status protected by law. Team Select Home Care is an employment-at-will employer.