Revenue Cycle Management Associate

This is a fully remote position, open to applicants in United States.

📋 Description

• Prepare, review, and accurately submit claims to insurance providers.

• Verify and ensure the precision of billing codes (CPT, HCPCS, ICD-10) and modifiers for services provided.

• Stay informed about Medicare, Medicaid, and private insurance billing regulations pertinent to home health care.

• Utilize billing software to manage and track claims efficiently.

• Monitor claim statuses and promptly follow up on any unpaid or denied claims.

• Investigate and resolve discrepancies, denials, and appeals related to claims.

• Generate reports detailing outstanding accounts receivable and payment trends.

• Ensure that all billing practices adhere to federal, state, and local regulations.

• Verify patient insurance details, eligibility, and prior authorization requirements.

• Maintain precise records of billing activities and patient accounts.

• Collaborate with office personnel and payers to resolve billing and reimbursement concerns.

• Communicate clearly with patients regarding their billing, payments, and financial obligations.

• Address inquiries from payers, patients, and colleagues in a professional and timely manner.

⛳️ Requirements

• High school diploma or equivalent (mandatory); an associate’s or bachelor’s degree in a relevant field (preferred).

• Certification in medical billing and coding (e.g., CPC, CPB) is highly recommended.

• 1-3 years of experience in medical billing, ideally within a home health care environment.

• Strong understanding of home health billing codes, insurance guidelines, and reimbursement procedures.

• Proficient in electronic health records (EHR) and billing software.

• Keen attention to detail and accuracy in data entry and documentation.

• Exceptional problem-solving and organizational abilities.

• Strong written and verbal communication skills.

🏝️ Benefits

• Competitive compensation packages that reflect the value you contribute. We recognize our team for their impactful work – full-time employees are eligible for an annual company performance bonus.

• Comprehensive health benefits that suit your needs. Choose from high-quality medical, dental, and vision plans, including a $0 deductible PPO and a company-funded HSA, along with employer-paid life and disability insurance.

• Generous paid time off policies. We offer benefits that allow you to recharge, including 10 paid company holidays.

• Financial savings benefits to support your future. We promote your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).

• Paid parental leave to support your expanding family. We provide paid leave to allow you to focus on bonding and adjusting to your growing family.