Revenue Cycle Specialist

Pay Range: $18.00- $20.00 per hour depending on experience  

Location: Remote

Schedule:  Full-Time, Monday-Friday

Here's Why Our Team Likes Working with Us:

• Benefits eligible at 30+ hours per week.
• Medical, dental, vision, and 401K
• Supplemental insurance available
• Matching 401k
• Paid Time Off (PTO)

SUMMARY 

For CNS Cares, LLC (“CNS”), this position is responsible for general duties associated with Billing, Coding, and collections of all patient charts. The Revenue Cycle Specialist may also be responsible for cash posting, bank reconciliation, and ensure fee schedules are up to date in EMR’s. 

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Employee must have regular attendance/punctuality, be able to work with others at all levels of the Company and be completely honest. Other assigned duties include:

1. Responsible for ensuring patient charts are complete and in chronological order prior to starting the billing process.

2. Performs all billing services in accordance with state/federal regulations; compliant with plan of care/treatment; and consistent with professional practice

3. Responsible for timely resolution of all claims including appeals 

4. Maintains acceptable % goal of outstanding AR depending on plan

5. Home Health/Hospice: Responsible for submission of NOA’s/NOE’s 

6. Manages clearinghouse and payor accept/reject reports timely

7. Evaluates all bill forms, assuring that all needed information is correct and in the appropriate place.

8. Review claims in Axxess EMR for electronic and/or manual billing in CNSI

9. Flags all incomplete charts for evaluation by Case Manager and/or Case Manager Assistant corrections.

10. Communicates with authorizations department when issues or DOL letter issues causing inability to e-bill after pre-certifying DOL letters have been received in the mail.

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

12. Other duties as assigned.

SUPERVISORY RESPONSIBILITIES

This position has does not have supervisory responsibilities

#TFIND

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and /or ability required.

EDUCATION and/or EXPERIENCE 

Required:

• High School diploma 
• At least two (2) years of cash posting experience 
• At least two (2) years of revenue cycle and accounts receivable experience

Preferred:

• Home Health and/or DME billing experience strongly preferred 

CLEARANCES The following background checks are conducted:

• Criminal Background
• Drug testing (In required states only)
• OIG Exclusion List
• Sex Offender Registry