RCM Credits & Collections Recovery Analyst
About The Position
Care Hospice is looking for a Revenue Cycle Management (RCM) Credits & Collections Recovery Analyst to join our growing team! We offer the opportunity to take on new challenges and a culture of teamwork that sets us apart. The RCM Credits & Collections Recovery Analyst is responsible for identifying, researching, and resolving Accounts Receivable (AR) credit balances, payer overpayments, and reimbursement variances, while also supporting collections recovery efforts for underpaid or incorrectly processed claims. This role ensures the accurate reconciliation of payments, investigates payment discrepancies, and initiates appropriate actions including void claims, corrected claims, refund processing, payer disputes, and AR recovery efforts. The analyst collaborates closely with billing, collections, cash posting, and payer relations teams to ensure accurate reimbursement and maintain compliance with regulatory and payer requirements. The position supports revenue integrity initiatives by identifying root causes of reimbursement issues and helping drive process improvements across the revenue cycle. Who we are: At Care Hospice, we're not just a company; we're a team united by a common goal – providing exceptional hospice and palliative care to those in need. We take immense pride in being a mission-driven, patient-centered leader in end-of-life care. Guided by our vision to be the most trusted partner in hospice care, we surround our patients and their loved ones with unwavering support, comfort, and compassion. At Care Hospice, we look for dedicated professionals who share our belief that true hospice care extends beyond medical needs—it’s about bringing dignity, peace, and human connection to every life we touch. We offer a supportive, growth-oriented environment along with a comprehensive benefits package that includes: Comprehensive Health, Dental, & Vision Insurance Company matching 401(k) to secure your future A generous time-off package with 15 days of PTO & 10 Holidays to rest and recharge Tuition Reimbursement & Certification Assistance to support your professional growth Wellness & Discount Programs to help you lead a healthy and balanced life Cell Phone, Mileage, & Gym Membership Reimbursement for your convenience
Requirements
- Bachelor’s degree in Accounting, Business Administration or other applicable discipline strongly preferred. 10+ years in Healthcare Billing Management will be considered in lieu of degree.
- A minimum of 5 years billing and collections management experience. Fluent in Medicare guidelines and compliance required.
- Experience utilizing EMR billing platforms required, experience with NetSmart preferred.
- Demonstrated expertise in computer skills, including knowledge of MS Office suite, database management and spreadsheet software.
- Excellent verbal and written communication abilities, articulating complex problems if they arise.
- Demonstrated ability to work independently with minimal supervision, with attention to details, accuracy and deadlines.
Responsibilities
- Ensures that billing and patient account record systems are maintained in accordance with generally accepted accounting principles and in compliance with state, federal and company regulations.
- Ensures accurate reimbursement thru review of billing and collections operations process to identify root cause of AR Credit and over payment balances.
- Processes Void/Adjustments claims when deemed appropriate to resolve Payer Overpayments.
- Identify and pursue recovery opportunities for credit balances and payer underpayments to determine payment/reimbursement discrepancies.
- Initiate appeals, disputes, or rebilling actions when payments do not align with contract terms or fee schedules.
- Research payment variances to validate reimbursement against contracted payer rates, Medicaid rate, and Medicare rates.
Benefits
- Comprehensive Health, Dental, & Vision Insurance
- Company matching 401(k) to secure your future
- A generous time-off package with 15 days of PTO & 10 Holidays to rest and recharge
- Tuition Reimbursement & Certification Assistance to support your professional growth
- Wellness & Discount Programs to help you lead a healthy and balanced life
- Cell Phone, Mileage, & Gym Membership Reimbursement for your convenience
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
501-1,000 employees
