Revenue Cycle Specialist I, RCM

Team Select Services, LLC; Phoenix (AZ); On-site; USD 23,000 - 34,000; Full time

Benefits offered by this job

Family Medical, Dental, and Vision

Paid Time Off

401(k) Referral Program

Job summary

Team Select Home Care is seeking a Revenue Cycle Specialist I to manage the billing, posting and collection of claims across payers. You will report to the Accounts Receivable Manager, RCM.

Responsibilities include monitoring held billing, correcting claims, working denials and appeals, and coordinating with internal teams to resolve issues. This role requires strong communication and organizational skills and meticulous attention to detail.

Qualifications

• Graduate of accredited high school or GED required
• Minimum of one year of experience in an office setting

Responsibilities

• Monitor held billing and coordinate resolution of related issues to ensure timely claim submission
• Review, research, and correct claims that fail payer edits; update payer information and resubmit claims within the EMR system as needed
• Understand and actively follow up on outstanding accounts receivable to minimize aging
• Work all assigned and denied claims promptly and accurately
• Assist in preparing and submitting appeals and reconsiderations to payers
• Collaborate with internal teams (billing, authorizations, clinical, etc.) to resolve billing and collections issues
• Communicate with payers to obtain claim status and resolve outstanding balances
• Maintain accurate documentation of collection activities and provide updates and reports on collection efforts as requested
• Assist with special projects, audits, or process improvement initiatives as assigned
• Perform other duties as assigned

Skills

Communication

Organization

Attention to detail

Multitasking

Problem solving

Customer service

Education

High school diploma or GED

Job description

The Revenue Cycle Specialist I is a position that calculates and posts receipts to appropriate accounts, verifies details of transactions; performs billing, posting and collection of claims related to specific payers. In this role, you'll report to the Accounts Receivable Manager, RCM.

Duties/Responsibilities:

• Monitor held billing and coordinate resolution of related issues to ensure timely claim submission
• Review, research, and correct claims that fail payer edits; update payer information and resubmit claims within the EMR system as needed
• Understand and actively follow up on outstanding accounts receivable to minimize aging
• Work all assigned and denied claims promptly and accurately
• Assist in preparing and submitting appeals and reconsiderations to payers
• Collaborate with internal teams (billing, authorizations, clinical, etc.) to resolve billing and collections issues
• Communicate with payers to obtain claim status and resolve outstanding balances
• Maintain accurate documentation of collection activities and provide updates and reports on collection efforts as requested
• Assist with special projects, audits, or process improvement initiatives as assigned
• Perform other duties as assigned

Required Skills/Abilities/Knowledge:

• Excellent verbal, written and computer communication skills
• Able to communicate across all levels of field level leadership within company
• Excellent organization, attention to detail, and problem solving
• Able to multi-task throughout the course of work, while maintaining accuracy
• Able to effectively deal with change
• Able to complete tasks within specific timetables
• Able to successfully interact with people in face-to-face situations as well as by telephone in a professional and effective manner, excellent customer service to internal and external customers
• Satisfactory background screens as required by State, Federal and Company policy free of any OIG sanctions

Education/Experience/Licenses/Certifications:

• Graduate of accredited high school or GED required
• Minimum of one year of experience in an office setting

Physical Requirements:

“You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job. However, you should disclose any physical or mental impairment for which special arrangements or accommodations are needed to enable you to perform the essential functions of the job. Your description of any impairment and suggestions for reasonable accommodations will be considered in providing reasonable accommodations.” Requires the ability to write, dictate or use a keyboard to communicate directives Utilizes proper body mechanics in multiple environments Requires the ability to function in multiple environments

FLSA Status: Non-Exempt

EEO Status: Administrative Support Workers

Benefits + Perks of Joining the Team

• Family Medical, Dental, and Vision Insurance
• Paid Time Off and Paid Sick Time
• 401(k) Referral Program

Pay Range: $17.00 - $25.00 / hour

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.

Team Select Home Care is dedicated to transforming lives by providing compassionate, high-quality in-home care.

Founded in 2008, our mission is to change lives for the better. We advocate for families in need, treat our patients like the heroes they are, and empower our team members to make a meaningful difference every day.

We specialize in long-term adult and pediatric private duty nursing, personal care services, and family caregiving programs, all with a personalized, patient-centered approach.

Our commitment to excellence is reflected in everything we do, from the way we care for our patients, to how we support our team.

We believe that our employees are the heart of our mission, and we’re dedicated to your growth and well-being.

At Team Select, you’ll find opportunities for continuous training, career advancement, and professional development.