Revenue Cycle Specialist

United States·Irvinemid

Revenue Cycle SpecialistHealthcare Non-Clinical

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Quick Summary

Key Responsibilities

Prepare and submit Notices of Election, Notices of Termination/Revocation, and daily billing using EDI and manual data entry Utilize AR Aging reports, Activity Reports, Cash Posting Reports,

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Revenue Cycle SpecialistHealthcare Non-Clinical

Join Silverado Home Office, a memory care innovator ranked in the top 10 nationwide by Fortune Magazine Best Workplaces in Aging Services™. Since 1997, Silverado has delivered exceptional care to individuals with neurodegenerative conditions. We’re a certified Great Place to Work® and proud to offer competitive pay, benefits, and growth opportunities.

We’re hiring a Revenue Cycle Specialist – a detail-oriented and collaborative professional who ensures timely and accurate hospice billing across multiple sites.

You’re a billing expert with a strong understanding of Medicare and Medicaid guidelines. You thrive in fast-paced environments, enjoy solving complex billing challenges, and bring precision and accountability to every step of the revenue cycle.

Responsibilities

~1 min read

→Prepare and submit Notices of Election, Notices of Termination/Revocation, and daily billing using EDI and manual data entry
→Utilize AR Aging reports, Activity Reports, Cash Posting Reports, and Remittance Advice/Explanation of Benefits
→Monitor claim status and address rejections, returned claims, and denials promptly
→Document claims status and collection activities in the AR system, setting and completing follow-ups
→Identify issues causing claim rejections or denials and request necessary information from sites or management
→Prepare and submit effective Provider Dispute Resolution (PDR) requests and appeals
→Post cash and analyze cash application transactions, including CARC and RARC codes
→Independently research issues, determine root causes, and escalate to management when needed
→Stay current on Medicare guidelines for hospice billing to ensure compliance
→Manage timely filing of claims and appeals within contractually defined terms
→Perform additional duties and special projects assigned

Requirements

~1 min read

Minimum 2 years of medical billing experience; hospice billing experience preferred
Medical Billing & Coding Certification preferred
Knowledge of Medicare hospice billing guidelines
Proficiency in Microsoft Office and ability to learn new software quickly
Reliable transportation to meet attendance and punctuality standards
Must be available to work in-office Monday through Friday.