Revenue Cycle Support Specialist

Job 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