Revenue Cycle Specialist - Remote

Job description

Overview Streamline Claims. Ensure Accuracy. Support Quality Care. We are seeking a detail-oriented and highly organized Revenue Cycle Specialist to support our billing operations through timely processing of Government and Commercial claims. This role plays a vital part in maintaining accurate medical records, identifying payer trends, and ensuring billing compliance across all areas of the revenue cycle. The ideal candidate will have experience in home health or hospice billing, with a strong understanding of payer systems and reimbursement processes. Key Responsibilities: Process assigned Medicare, Medicaid, and/or Commercial claims and payments accurately and within payer timelines. Track daily documentation for physician orders and signatures. Notify administration of missing documents and maintain patient medical records. Maintain required logs, rosters, and documentation records. Identify payer behavior trends and report unexpected patterns to the Revenue Cycle Manager. Participate in quality improvement activities related to billing performance. Communicate professionally with field staff regarding documentation and unbilled revenue. Follow up on outstanding billing items a...