Revenue Cycle Specialist

SilveradoIrvine, CA
$30 - $40Onsite

About The Position

Join Silverado Home Office, a memory care innovator ranked in the top 10 nationwide by Fortune Magazine Best Workplaces in Aging Services™. Since 1997, Silverado has delivered exceptional care to individuals with neurodegenerative conditions. We’re a certified Great Place to Work® and proud to offer competitive pay, benefits, and growth opportunities. We’re hiring a Revenue Cycle Specialist – a detail-oriented and collaborative professional who ensures timely and accurate hospice billing across multiple sites. Be a difference-maker with a memory care leader! You’re a billing expert with a strong understanding of Medicare and Medicaid guidelines. You thrive in fast-paced environments, enjoy solving complex billing challenges, and bring precision and accountability to every step of the revenue cycle.

Requirements

  • Minimum 2 years of medical billing experience
  • Knowledge of Medicare hospice billing guidelines
  • Proficiency in Microsoft Office and ability to learn new software quickly
  • Reliable transportation to meet attendance and punctuality standards

Nice To Haves

  • hospice billing experience preferred
  • Medical Billing & Coding Certification preferred

Responsibilities

  • Prepare and submit Notices of Election, Notices of Termination/Revocation, and daily billing using EDI and manual data entry
  • Utilize AR Aging reports, Activity Reports, Cash Posting Reports, and Remittance Advice/Explanation of Benefits
  • Monitor claim status and address rejections, returned claims, and denials promptly
  • Document claims status and collection activities in the AR system, setting and completing follow-ups
  • Identify issues causing claim rejections or denials and request necessary information from sites or management
  • Prepare and submit effective Provider Dispute Resolution (PDR) requests and appeals
  • Post cash and analyze cash application transactions, including CARC and RARC codes
  • Independently research issues, determine root causes, and escalate to management when needed
  • Stay current on Medicare guidelines for hospice billing to ensure compliance
  • Manage timely filing of claims and appeals within contractually defined terms
  • Perform additional duties and special projects assigned

Benefits

  • 401(k) matching
  • Health, Dental and Vision Insurance
  • Flexible Spending Account (FSA)
  • Paid time off
  • Tuition reimbursement and professional development assistance
  • Referral program
  • Pet Insurance
  • Auto and Home Insurance
  • Discount Programs
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