Centralized Revenue Cycle Specialist

Do you want to be a part of a highly respected team of skilled and caring people who are committed to making quality service a way of life? Your daily efforts and dedication will help us remain a premier provider of home health services.

The Centralized Revenue Cycle Specialist is an essential position that assists the billing department with the accurate processing of claims and maintaining records for home health and hospice.

Personal Qualifications : Revenue Cycle Specialists have a strong desire to relate to and work with the elderly and those in need of skilled care. They possess high personal integrity, a caring attitude and portray a positive image. Revenue Cycle Specialists find fulfillment in building personal relationships and providing excellent services. They are committed to doing whatever it takes to enhance the dignity in people's lives.

Professional Qualifications : Revenue Cycle Specialists will have a degree or have a degree / experience in Accounting, Business or related field. Verbal communication skills, excellent customer services skills, and strong organizational skills are important components of this position. Revenue Cycle Specialists are continually learning and growing by participating in educational sessions, in-service training and demonstrations. Some training may require out-of-town travel.

Key Result Areas :

• Consistently uses the Vetter Health Services Mission, Vision and Values to guide everyday decisions and actions.
• Assist in the preparation and submission of billing claims to insurance companies.
• Review claims for accuracy and completeness before submission
• Maintain accurate and organized billing records, including patient records, service details, and payment records.
• Ensure all necessary documentation is collected and filed in compliance with regulatory standards.
• Respond to billing inquiries from patients, families, and healthcare providers in a timely and professional manner.
• Monitor outstanding claims and follow up on unpaid invoices.
• Work with insurance companies to resolve billing issues, denials, and discrepancies.
• Perform data entry tasks related to billing and accounts receivable.
• Assist in generating reports to track billing performance and identify trends.
• An associate's degree or higher in healthcare administration or a related field is a plus.
• Familiarity with medical billing practices and insurance regulations.
• Demonstrate a consistently positive, respectful and constructive attitude with both clients and staff.
• Demonstrate initiative, active problem solving and a continual desire to improve customer service.
• Serve as an advocate for each client to ensure their physical, psychosocial, spiritual and restorative needs are being met.
• Know, understand and perform responsibilities that meet regulatory and company standards.
• Serve as an effective teacher, model, and consultant for other staff.
• Be a reliable and positive member of the agency's team.
• Create a cooperative working relationship with other departments.
• Work alongside orders manager and Revenue cycle team to coordinate proper billing.
• Backup assistance to Orders manager when needed.