Remote Risk Adjustment Revenue Cycle Specialist (PACE)

AnewHealth; New York (NY); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical/dental/vision coverage

401(k)

Paid Time Off

Paid holidays

Short-term disability

Life insurance

Job summary

AnewHealth is seeking a Client Service Liaison to actively assess and monitor Medicare revenue cycle activities for PACE programs. You will partner with PACE program financial teams to interpret Medicare data, identify variances, and support accurate premium payments.

This remote, full-time role requires strong communication, analytical, and HIPAA-compliant practices. Join Capstone's team to enhance client service, onboarding, and ongoing support across a national portfolio, with opportunities

Qualifications

• Minimum three years of experience in Hierarchical Condition Categories (HCC) or risk adjustment.
• Experience with Risk Adjustment Analytics strongly preferred

Responsibilities

• Completes assessment for assigned panel of PACE programs using CMS returns files and input from all Capstone departments' analytics, including coding, auditing, and medical consultants.
• Assess the client's action plan based on quarterly assessments, including on-site visits and virtual conferences.
• Develops and strengthens Capstone client relationships within the assignment panel.
• Onboards new clients with the Capstone project coordinator.
• Monitors client needs and recommends additional services or improvements.
• Resolves issues to ensure customer satisfaction.
• Assists clients in navigating and optimizing Capstone reports and services.
• Provides training and education to clients as needed (webinars).
• Collaborates with Capstone teams for assigned clients.
• Maintains master schedules for all clients in the panel.
• Participates in internal calls regarding clients.
• Keeps professional licensure and attends trainings to stay current.
• Adheres to HIPAA requirements and privacy practices.
• Participates in department meetings and client calls; performs other duties as required.
• Completes miscellaneous projects for Capstone as requested.

Skills

MS Word

Excel

PowerPoint

Software proficiency

Communication

Prioritization

Autonomy

Presentation

Multitasking

Initiative

Detail-oriented

HIPAA compliance

Adaptability

Education

Associate Degree

B.S / B.A. / B.S.N

Job description

AnewHealth is seeking a Client Service Liaison to actively assess and monitor Medicare revenue cycle activities for PACE programs. You will partner with PACE program financial teams to interpret Medicare data, identify variances, and support accurate premium payments.

This remote, full-time role requires strong communication, analytical, and HIPAA-compliant practices. Join Capstone's team to enhance client service, onboarding, and ongoing support across a national portfolio, with opportunities