Revenue Cycle Specialist

FALCON HOME HEALTH AND HOSPICE; Richardson (TX); On-site; USD 42,000 - 66,000; Full time

Job summary

Empower is seeking a Revenue Cycle Specialist to manage billing, collections, and revenue cycle functions for healthcare organizations. You will prepare and submit claims, follow up with payers, and generate reports while addressing billing questions and setting repayment plans when needed.

The role requires knowledge of EMR billing, Medicaid/Medicare, and strong MS Office skills, with prior home health, hospice, or long-term care experience preferred.

Qualifications

• High School Education or GED.
• Medical billing and collections background preferred.
• Experience in Home Health, Hospice or Long-term care preferred.
• Knowledge of electronic billing via EMR and medical billing software.
• Understanding of the requirements of Medicaid, Medicare and Insurance billing is preferred.
• Accounts Receivable skills and medical terminology is a plus.
• Computer proficiency – MS Office and web enabled applications strongly preferred.

Responsibilities

• Prepares and submits insurance claims to appropriate payers.
• Ensures claims are received by payer timely correcting, rebilling, or appealing as necessary.
• Follows up with payers to confirm accurate payment. Contacts payers claims departments to address and correct billing errors and omissions.
• Generates necessary reports including billing and collections.
• Answer patient questions and advise them on insurance coverage and benefits.
• Establish repayment plans and arrangements with delinquent patients.
• Stays current with any payer related changes; may be provider specific or regulatory revisions.
• Actively contribute to special projects and offers feedback to improve processes.
• Analysis AR recognizing potential delays and trends with payers such as corrective actions and responds to avoid A/R aging.
• Escalates payment delays/problem aged account timely to Supervisor.
• Additional duties as assigned by Supervisor.

Skills

Billing & collections

EMR billing software

Medicare/Medicaid knowledge

MS Office

Education

High School Diploma or GED

Tools

EMR systems

Medical billing software

Job description

At Empower, we are proud to serve as a one-stop-shop business partner for healthcare organizations to support their administrative and employer needs. We strive to be more than a workplace, but also a community, where every voice is heard, and every team member is valued. Our team is driven by a shared mission to create a positive impact on healthcare organizations and the lives they touch. Join our team today to be part of our mission!

GENERAL PURPOSE:

The Revenue Cycle Specialist is responsible for billing, collections, and revenue cycle management functions.

ESSENTIAL FUNCTIONS:

• Prepares and submits insurance claims to appropriate payers
• Ensures claims are received by payer timely correcting, rebilling, or appealing as necessary.
• Follows up with payers to confirm accurate payment. Contacts payers claims departments to address and correct billing errors and omissions
• Generates necessary reports including billing and collections.
• Answer patient questions and advise them on insurance coverage and benefits
• Establish repayment plans and arrangements with delinquent patients
• Stays current with any payer related changes; may be provider specific or regulatory revisions.
• Actively contribute to special projects and offers feedback to improve processes.
• Analysis AR recognizing potential delays and trends with payers such as corrective actions and responds to avoid A/R aging.
• Escalates payment delays/problem aged account timely to Supervisor.
• Additional duties as assigned by Supervisor.

QUALIFICATIONS:

• High School Education or GED
• Medical billing and collections background preferred
• Experience in Home Health, Hospice or Long-term care preferred
• Knowledge of electronic billing via EMR and medical billing software
• Understanding of the requirements of Medicaid, Medicare and Insurance billing is preferred
• Accounts Receivable skills and medical terminology is a plus
• Computer proficiency – MS Office and web enabled applications strongly preferred

ADDITIONAL REQUIREMENTS:

• Willingness to learn
• Self-motivation and the ability to work independently as well as in a team
• Provide quality customer services to internal and external teams
• Must be able to work productively in an environment with high levels of interruption; work efficiently and effectively meeting multiple deadlines and changing priorities with strong attention to detail
• Exceptional organization skills
• Ability to maintain confidentiality
• Ability to effectively communicate with all levels of management
• Strong work ethic: results focus with a strong desire to achieve goals
• Ability to use a computer keyboard and mouse 6-8 hours a day
• Occasionally lift/carry items weighing up to 25 lbs.
• Ability to dial, answer and talk on a telephone for multiple hours a day
• Ability to handle completing a task in high levels of interruption while paying close attention to detail

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities.

• Equal Employment Opportunity Policy
• It is the policy and practice of the company to abide by all anti-discrimination laws provided for by federal, state, and local statutes.