Revenue Cycle Specialist

Heart to Heart Hospice•Plano, TX

5d•Onsite

About The Position

At Heart to Heart Hospice, we provide “Compassionate Care from Our Hearts to Yours.” Our employees enhance the lives of patients with life-limiting illnesses and their loved ones,during a time when compassionate care is needed most. We are dedicated to making a difference in the lives of employees, offering the opportunity to be associated with caring teammates, and creating positive contributions in each community we serve.

Requirements

High school diploma or its equivalent required
Texas & Michigan Medicaid experience
Hospice billing experience. Must be 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
Multi-state experience, 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.
Maintain tracking tools to endure 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