Revenue Cycle Specialist- Managed Care Part B
About The Position
At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve. Are you a detail-oriented with a passion for maximizing revenue? Do you thrive in a fast-paced environment where your contributions directly impact the financial health of the organization? If so, we have an exciting opportunity for you to join our dynamic team as a Revenue Cycle Specialist. In this vital role, you will be at the forefront of our revenue cycle management, ensuring the smooth and accurate processing of Managed Care Part B claims. You'll collaborate closely with our nursing center staff, playing a key role in maintaining impeccable records and achieving outstanding remittance payments on the first pass. Your sharp eye for detail and proactive approach will directly contribute to our business goals of improving billing quality, driving strong collection performance, and ultimately reducing bad debt. Position Highlights Partner with nursing center staff to guarantee that verifications, authorizations, and documentation align perfectly with payer requirements for clean claim submissions. Make decisions on the next steps needed to ensure claims are paid timely to ensure cash flow for each nursing center. Audit the demographic information within our billing system, ensuring accuracy for clean billing and prompt payment. Interact with third-party payers as needed to secure payment for pending claims. Identify any global payer issues and escalate them to management.
Requirements
- Bachelor’s Degree or four or more years’ experience in accounting, billing, or collections in a healthcare environment.
Responsibilities
- Partner with nursing center staff to guarantee that verifications, authorizations, and documentation align perfectly with payer requirements for clean claim submissions.
- Make decisions on the next steps needed to ensure claims are paid timely to ensure cash flow for each nursing center.
- Audit the demographic information within our billing system, ensuring accuracy for clean billing and prompt payment.
- Interact with third-party payers as needed to secure payment for pending claims.
- Identify any global payer issues and escalate them to management.
Benefits
- Variable compensation plans
- Tuition, Travel, and Wireless Service Discounts
- Employee Assistance Program to support mental health
- Employee Foundation to financially assist through unforeseen hardships
- Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
- Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members
- On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned
- Pet Insurance
- Term and Whole Life Insurance
- Short-term Disability
- Hospital Indemnity
- Personal Accident
- Critical Illness
- Cancer Coverage
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
