Revenue Cycle Specialist

Heart to Heart Hospice•Plano, TX

7d•Onsite

About The Position

This role is responsible for accurately entering patient/client billing data, including nursing home rates, level of care, per diem, and physician billing or charges, visit charges, fee for service charges, and verifying discharge and admission data. The specialist will coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing. A key part of the role involves confirming and ensuring the accuracy of data in EMR - HomeCare HomeBase and maintaining tracking tools to ensure all necessary information is secured for timely and accurate payment. This includes eligibility, insurance verification, authorizations, certification and recertification, state-required documentation for Medicaid, and Room and Board payment. The position requires timely submission of all documentation and conducting all business activities in a professional and ethical manner, along with performing other duties as required and ensuring overall compliance with local, state, and federal laws, Medicare regulations, and established personnel policies and procedures.

Requirements

High school diploma or its equivalent required
Indiana Medicaid experience
Hospice billing experience
Knowledgeable of reimbursement processes and procedures
Proficient in Microsoft Outlook, Word, Excel, PowerPoint and computer literacy
Organized work habits, accuracy, and proven attention to detail, with strong analytical skills

Nice To Haves

Associate degree preferred
Experience with HomeCare Homebase preferred

Responsibilities

Accurately enter patient/client billing data, nursing home rates, level of care, per diem, and physician billing or charges, visit charges, fee for service charges, and verify discharge and admission data.
Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing.
Confirm and ensure accuracy of the data in EMR - HomeCare HomeBase.
Maintain tracking tools to ensure that all necessary information is secured for timely accurate payment. This includes eligibility, insurance verification, authorizations, certification and recertification, state required documentations for Medicaid and Room and Board payment.
Timely submission of all documentation.
Conduct all business activities in a professional and ethical manner.
Performance of other duties as required.
Ensure overall compliance with local, state and federal laws, Medicare regulations, and established personnel policies and procedures.