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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 

The staffing industry has seen an increase in people falsely representing themselves as recruiters to gather personal information from job seekers. For your safety, do not provide sensitive data to anyone you have not spoken with thoroughly, never provide banking information during the application process and always double check the email address of the Recruiter to ensure it’s from an official Planet domain (@theplanetgroup.com, @theplanetforward.com, @planet-technology.com, @planet-pro.com, @planetinteractive.com, @pfes.com, @launchcg.com, @planet-pharma.com, @planet-healthcare.com) - and not a domain with an alternative extension like .net, .org or .jobs.

The Planet Group and our companies are equal opportunity employers. It is our practice not to discriminate against any employee or applicant based on any criteria, condition or basis protected by laws or regulations in the locations where we do business. All qualified applicants are encouraged to apply. We celebrate diversity and are committed to providing an environment of mutual respect. We believe that diversity, equity and inclusion enable us to better meet our mission and values while serving our clients across the globe. If you have a disability or handicap and would like us to accommodate you in any reasonable way, please inform your recruiter, or contact us, so that we can discuss the appropriate alternatives available.

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About Marlborough, MA

Ready to take your career to the next level? Explore our job opportunities in the vibrant area surrounding Marlborough, Massachusetts! Located in the heart of New England, Marlborough offers a perfect blend of rich history, stunning landscapes, and endless growth opportunities. Whether you're drawn to the serene beauty of Upton State Forest or the cultural delights of the Worcester Art Museum, this region has something for everyone. Indulge in delectable clam chowder at a local seafood joint or catch a game at Fenway Park to experience the passion of Boston sports fans firsthand. With renowned theaters like Hanover Theatre and exciting professional sports teams like the New England Patriots and Boston Celtics, Marlborough, MA, is not just a place to work – it's a place to thrive. Explore our job listings today and kickstart your exciting career journey in this enchanting region!
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