Revenue Cycle Specialist

Job description

Job DetailsJob Location: 2600 JOHNSTON ST - LAFAYETTE, LA 70503Position Type: Full TimeJob Category: AccountingReports To: Revenue Cycle Manager JOB DESCRIPTION SUMMARY: Revenue Cycle Specialist supports management and the mission of Hospice of Acadiana, Inc. (HOA) and Palliative Medicine of Acadiana, Inc. (PMOA) by supporting the admission process working with Payers to coordinate payment authorization periods, insurance verification, and submission of appropriate information. Works closely with Admissions, Clinical Teams, and Billing Office Staff. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES: Verifies insurance coverage, benefit availability, coordination of benefits, exclusions, etc. Performs initial and concurrent reviews for authorization of services for all patients, when necessary. Responsible for the pre-authorization, certification, and re-certification processes. Completes and submits Notice of Elections. Serves as a liaison between Admissions, Clinical Team, Providers, and Billing Office to obtain all documentation needed for billing of claims. Initiates Payer contact within 24 business hours of notification of admission, depending on the Payer. Maintains electronic medical...