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Lead Revenue Cycle Specialist
$90k-122k (estimate)
Full Time | Skilled Nursing Services & Residential Care 1 Week Ago
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Team Select Home Care is Hiring a Lead Revenue Cycle Specialist Near Phoenix, AZ

Team Select Home Care is looking for a Revenue Cycle Lead to join our Team Select family. The Revenue Cycle Lead is a position that calculates and posts receipts to appropriate accounts, verifies details of transactions; perform billing, posting and collection of claims related to specific payers. The Revenue Cycle Lead reports directly to the Manager of Revenue Cycle Management (MRCM).

  • Sort incoming mail daily and distributes mail accordingly.
  • Scans and saves checks, remits and billing documents to correct locations.
  • Monitor held billing and coordinate resolution of all issues.
  • Resolve and prepare claims that have not passed the payer edits daily.
  • Changes payer and rebills in EMR.
  • Follow up on claim denials and ability to follow up on denials.
  • Help with appeals.
  • Submits of waiver requests.
  • Enroll with payers for EFT/ERA submissions.
  • Coordinate claim activities and designated agencies, and the reimbursement of receivables.
  • Review and bills all secondary and tertiary insurances to correct charges, bill forms and supporting documentation (EOBs).
  • Achieve and maintain net collections and outstanding receivables goals as defined by company goals.
  • Identify trends related to denials/coding and delinquent claims and communicate with client manager for feedback to our clients.
  • Identify system/payer issues such as rates, codes, set up and coordinate accordingly.
  • Report status of accounts and issues to appropriate supervisors and departments – maintains full transparency of accounts.
  • Follow requirements through the full cycle until accounts are satisfied, including patient collections and appeals.
  • Document, processes and coordinates all write offs and adjustments.
  • Work with contracting team and management to resolve payer issues.
  • Complete Provider enrollments for EFTs/ERAs.
  • Coordinate coverage and cross training for the Team
  • Ongoing training and mentorship with team.
  • Set up payers in EMR and tests/tracks setup to ensure accuracy.
  • Handle important accounts and projects, coordinating with management, operations, and payers to ensure issues are resolved.
  • Lead AR meetings with management, branches and staff.
  • Perform other tasks as assigned.

Qualifications:

  • Graduate of accredited high school or GED required.
  • Minimum of three years of experience in health-related accounts receivable and collections.
  • One year in a leadership role.
  • Experience with collections.
  • Participate with management on process improvements.
  • Train and support team members as assigned

Our Benefits:

  • Medical, dental, and vision insurance
  • 401K
  • Environment which fosters career opportunities and growth.
  • DailyPay

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.

Job Type: Full-time

Pay: $45,760.00 - $52,000.00 per year

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday

Ability to Relocate:

  • Phoenix, AZ 85018: Relocate before starting work (Required)

Work Location: In person

Job Summary

JOB TYPE

Full Time

INDUSTRY

Skilled Nursing Services & Residential Care

SALARY

$90k-122k (estimate)

POST DATE

05/08/2024

EXPIRATION DATE

07/06/2024

WEBSITE

teamselecthh.com

HEADQUARTERS

Phoenix, AZ

SIZE

500 - 1,000

INDUSTRY

Skilled Nursing Services & Residential Care

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