Revenue Cycle Eligibility & Training Specialist

Gentiva; Mooresville (NC); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

401(k) with Company Match

Career Advancement Opportunities

National & Local Recognition Programs

Teammate Assistance Fund

Job summary

Gentiva seeks a Revenue Cycle Senior Specialist to strengthen eligibility and billing accuracy through training, documentation management, and subject-matter expertise. You will report to the Revenue Cycle Director of Authorization and lead training initiatives, manage escalations, and identify payer trends to support clean claim submissions.

This role supports the Eligibility team with high-volume workflows, collaborating with clinical and field staff on unbilled revenue and billing procedures.

Qualifications

• Bachelor’s degree preferred.
• Minimum of 5 years in revenue cycle, including at least 2 years focused on insurance eligibility.
• Experience with payer-specific billing timelines and filing limits.

Responsibilities

• Create and manage training plans for new hires and cross-training.
• Serve as subject matter expert for eligibility processes and input for improvements.
• Maintain logs and documentation for all training activities.
• Act as escalation point for complex eligibility issues.
• Monitor missing documents and assist in obtaining medical records.
• Handle high-volume assignments while supporting peers.
• Assist with eligibility verifications and work queues.
• Participate in quality improvement initiatives related to eligibility workflows.
• Track payer trends and flag issues in denial patterns.
• Communicate with clinical and field staff regarding unbilled revenue and billing procedures.

Skills

Troubleshooting

High-volume work

Organized

Data entry

Payer timelines

Clearinghouses

EOB reading

Communication

Education

Bachelor's degree preferred

Tools

Homecare HomeBase

DDE

E-solutions

Waystar

Nthrive

Job description

Gentiva seeks a Revenue Cycle Senior Specialist to strengthen eligibility and billing accuracy through training, documentation management, and subject-matter expertise. You will report to the Revenue Cycle Director of Authorization and lead training initiatives, manage escalations, and identify payer trends to support clean claim submissions.

This role supports the Eligibility team with high-volume workflows, collaborating with clinical and field staff on unbilled revenue and billing procedures.