Revenue Cycle Specialist

Part-Time Revenue Cycle Specialist

Salary Range: $18 - $20 per hour depending on experience  

Location: Remote

Schedule: Part-Time , Hours Flexible Monday- Friday (prefer hours to follow Mountain Standard Time) 

SUMMARY 

For Critical Nurse Staffing, 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

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 

• High School diploma 
• Minimum of two (2) years of accounts receivable/billing experience in Home Health and Hospice as well as Room and Board billing

RELATED COMPETENCIES

Language Skills: Must be able to read, analyze, and interpret general business practices, policies and procedures, professional journals, technical guidelines, and governmental regulations. Must be able to write reports, business correspondence, and procedure manuals. Must be able to effectively present information and respond to questions from groups of managers, clients, customers, and the public. Must be able to accurately and clearly provide guidance and direction to Company staff and employees.

CLEARANCES 

The following background checks are conducted:

• Criminal  Background
• Credit History 
• Driving Record
• OIG Exclusion  List
• Sex Offender  Registry