Job Description

The Revenue Cycle Associate is responsible for providing support, as needed, in various areas of the revenue cycle, which includes but is not limited to, eligibility, authorization, collections, and cash application.  Individuals in this position must be highly motivated with a desire to learn, detail oriented, and possess great communication skills.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

1. Meets goals and objectives in assigned area
2. Complies daily with departmental policies and procedures
3. Performs collection activity to ensure proper resolution and reimbursement on claims
4. Provides thorough, courteous, and professional assistance to coworkers and patients
5. Ensures that all claims are billed and collected and meet all government mandated policies for Integrity and Compliance
6. Resolves claims processing issues with third party payers and provide all required information timely; involves patients and family members (where necessary) to ensure timely resolution of claims with insurance companies
7. Resubmits clean and accurate claims to insurance companies in a timely and compliant manner
8. Researches, prepares, and submits appeals to insurance companies
9. Download electronic payments from clearinghouse systems and the various Insurances Companies and post to Accounts Receivable
10. Reconcile cash posting transactions to the Daily Cash Journal Report on a daily basis
11. Details all actions taken on account with clear and concise notes
12. Monitors and recognizes denials and/or issues that may be trends and escalate to supervisor as needed
13. Maintain strict confidentiality and adhere to all HIPAA guidelines/regulations.

The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Qualifications

POSITION QUALIFICATIONS

1.      High school diploma or GED required

2.      2+ years of Revenue Cycle experience 

3.      Home Health and/or Hospice industry experience preferred

4.      Intermediate to expert knowledge of Excel or knowledge to guide Excel superusers to develop reporting 

5.      Experience working in multiple EHR/PMS 

6.      Track record of driving operational process improvement 

Additional Information

Perks/Benefits:

• Competitive compensation
• Dynamic, fun, team-oriented work environment
• Countless growth and development opportunities
• Flexible Schedules
• Medical, dental and vision insurance
• Company Paid Life insurance
• Mileage Reimbursement
• PTO
• Paid Holidays
• Paid Sick Days
• Employee Assistance Program
• 401K
• FSA