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Revenue Cycle Specialist

Marlborough, MA 01752

Posted: 04/12/2024 Employment Type: Direct Hire/Perm Job Category: Accounting & Finance Job Number: 615352 Country: United States Is job remote?: Yes

Job Description


The Revenue Cycle Specialist is responsible for handling related Billing, AR Management, Cash and Credit processing for all services provided to Sage patients. 

JOB FUNCTIONS: 

  • Promote and practice our mission of, “To provide the most compassionate, comprehensive, and qualified care to people with a life-limiting illness to serve them through their individual journey with dignity, respect, and integrity” 

  • Responsible for submission of Notice of Elections to Medicare and Medicare VBid programs 

  • Responsible for the submission/resubmission of bills to all payors; including, but not limited to: Medicare, Medicaid, and Commercial Insurances in accordance with payor requirements and organization policies. 

  • Works denied/rejected claims via payor portals, HCHB Workflow, etc. to ensure payment is received. 

  • Responsible to work the Accounts Receivable based upon age and dollar amount. Provides Sr Director of Rev Cycle monthly report regarding overall aging issues, specific accounts at risk, etc. 

  • In conjunction with Manager, facilitates monthly review meeting with Branches to discuss AR, Risk accounts and any accounts which require assistance. 

  • Resolves credit balances on accounts receivable in accordance with Payor policies and requirements. Uploads quarterly Credit reporting to Medicare. 

  • Participates in the updating and maintenance of HCHB Charge Master 

  • Always maintains the confidentiality of patient and organizational information.  

REQUIREMENTS: 

  • High school diploma or equivalent experience is required. 

  • 3+ years experience in Hospice Revenue Cycle 

  • Preferred working knowledge of Homecare Homebase 

SKILLS & KNOWLEDGE: 

  • Proficient in Microsoft Office suite

  • Critical thinking and problem-solving skills 

  • Maintain up-to-date knowledge of revenue cycle procedures and relevant rules and regulations 
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