Revenue Cycle Support Specialist

BrightSpring Health Services; Nashville (TN); On-site; USD 65,000 - 75,000; Full time

Job summary

BrightSpring Health Services in Nashville, TN seeks a Revenue Cycle Support Specialist to support AR and project Management across home health, hospice, and private duty lines. You will oversee payer setup, contractual allowances, and acquisitions through transition to systems, ensuring accurate reimbursements and compliant processes.

The role requires an AR background, strong analytical and communication skills, and the ability to collaborate with multiple teams.

Qualifications

• Bachelor's degree in Accounting, Finance, or Business or equivalent work experience.
• 3+ years of relevant Revenue Cycle or AR experience.
• Strong verbal, analytical, and interpersonal skills.
• Excel proficiency and MS Office familiarity.

Responsibilities

• Provide AR oversight for acquisitions and payer setup across systems.
• Ensure correct rate, claim presentation, and transmission success on setup.
• Configure contractual allowances and calculate expected reimbursement.
• Set up new sites in Revenue Cycle platforms and monitor EDI options.
• Analyze data for anomalies and coordinate with departments to resolve issues.
• Oversee portal admin, WayStar setups, and payer matching.
• Perform month-end close procedures and report variances.

Skills

Analytical skills

Verbal communication

Interpersonal skills

Attention to detail

Problem solving

Team collaboration

Education

Bachelor's degree in Accounting, Finance, or Business

Tools

Excel

Microsoft Office

Job description

Revenue Cycle Support Specialist

Job Locations: US-TN-NASHVILLE

Overview

This role supports the Revenue Cycle Support/Project Manager and Directors for Home Health, Hospice, and Private Duty. Must have strong AR background with various payers. This role includes ownership of Acquisition AR through transition to legacy systems. Ability to understand payer contracts and translate information into payer setup for multiple systems. Assists in tracking EDI enrollments. Will serve as a Subject Matter Expert and provide training as needed. Must have the ability to analyze information, take appropriate steps if corrections are needed, and quantify/share results. Ability to work with multiple teams to ensure collaboration and effective communication. Ensure compliance with corporate policies.

Responsibilities

• Provides AR oversight for Acquisitions
• Responsible for accurate payer setup in multiple billing system(s)
  • Confirms correct rate and claim presentation
  • Confirms success of transmissions upon initial setup
• Responsible for accurate contractual allowance setup in multiple billing system(s)
• Responsible for accurate calculation of expected reimbursement
• Responsible for setup of new sites within Revenue Cycle Platforms
• Proactively work acquisitions to avoid as many disruptions as possible
• Works with EDI staff to ensure all eligible electronic options are enabled/utilized
• Performs Month-End Close Procedures/Processes o Report variances
• Reviews systems for non-admits or duplicate admissions
• Solves system issues, identifying root cause and next steps
• Oversees portal admin/access, WayStar setups, and payer matching
• Partners with pperations, as needed, to identify work through issues
• Analyzes data for anomalies
• Maintains excellent partnerships with multiple lines of business and departments
• Coordinates to identify changes for governmental payors
• Monitors for variances and facilitate research

Qualifications

• Bachelor's degree in Accounting, Finance, or Business preferred or equivalent work experience
• Three or more years of relevant experience or CompTIA Project Certification preferred
• Excellent verbal, analytical, and interpersonal skills
• Intermediate level of Excel knowledge required for optimal functionality in the role
• Proficiency in Microsoft Office suite is a plus
• Ability to approach problem-solving challenges independently and have strong attention to detail
• Ability to work in a fast-paced environment with collaborative and team-based objectives

About our Line of Business

BrightSpring Health Services provides complementary home- and community-based health solutions for complex populations in need of specialized and/or chronic care. Through the Company's service lines, including pharmacy, home health care, and rehabilitation, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 475,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and industry-leading quality metrics across its services lines, while improving the health and quality of life for high‑need individuals and reducing overall healthcare system costs. For more information, please visit www.brightspringhealth.com. Follow us on Facebook, LinkedIn, and X.