Specialist-Medicaid Revenue Cycle

Genesis Administrative Services LLC•Philadelphia, PA

8d•$50,000 - $55,000

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. The Medicaid Revenue Cycle Specialist plays a critical role in meeting business goals by managing claims/bills production according to payer and regulatory requirements to assure correct remittance payment at first pass. The Specialist works closely with nursing center staff to ensure accurate records are kept. Audit the accuracy of demographic information in the Billing System to ensure clean billing and prompt payment. Direct nursing center Business Office Manager to make any applicable updates in PCC. Independently ensure errors are corrected before batching. Make independent decisions on the next steps needed to ensure claims are paid timely to ensure cash flow for each center. Identify any global payer issues and bring to Central Billing Office Management's attention. Manage all claim projects to completion that are submitted to contracted insurance carriers or the state.

Requirements

Bachelor's degree or four or more years' experience in accounting, billing, or collections in a healthcare environment.

Responsibilities

The Medicaid Revenue Cycle Specialist plays a critical role in meeting business goals by managing claims/bills production according to payer and regulatory requirements to assure correct remittance payment at first pass.
The Specialist works closely with nursing center staff to ensure accurate records are kept.
Audit the accuracy of demographic information in the Billing System to ensure clean billing and prompt payment.
Direct nursing center Business Office Manager to make any applicable updates in PCC. Independently ensure errors are corrected before batching.
Make independent decisions on the next steps needed to ensure claims are paid timely to ensure cash flow for each center.
Identify any global payer issues and bring to Central Billing Office Management's attention.
Manage all claim projects to completion that are submitted to contracted insurance carriers or the state.

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
We also offer several voluntary insurances such as:
Pet Insurance
Term and Whole Life Insurance
Short-term Disability
Hospital Indemnity
Personal Accident
Critical Illness
Cancer Coverage
Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.