Revenue Cycle Specialist
On-sitePlano, Texas, United States
Job Summary
Accurately enter patient/client billing data, nursing home rates, level of care, per diem, and physician billing charges while verifying discharge and admission details. Coordinate, review, and analyze documentation supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing. Confirm data accuracy in the EMR and maintain tracking tools for eligibility, insurance verification, authorizations, and state-required documentations for Medicaid and Room and Board payments. Submit all documentation timely and ensure overall compliance with local, state, and federal laws. Perform other duties as required.
Required Qualifications
- High school diploma or its equivalent
- Texas & Michigan 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
- proven attention to detail
- strong analytical skills
Desired Qualifications
- Associate degree
- Multi-state experience
- Experience with HomeCare Homebase
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