RCM Specialist, Accounts Receivable

Help at Home is the leading national provider of in-home personal care services, where our mission is to enable individuals to live with independence and dignity at home. Our team supports 66,000 clients monthly with the help of 49,000 compassionate caregivers across 12 states. We’re focused on serving people and the communities we are part of.

Job Summary:

The RCM Specialist, AR reports to the RCM Supervisor. This position performs general data entry, keying, and bookkeeping tasks for the Revenue Cycle Management Department accounts receivable functions that require a high degree of attention to detail, and the ability to analyze and resolve routine problems.

This is a REMOTE role.

As a key member of the team:

• You are flexible and can embrace change
• You value progress over perfection
• You care about your work, the team you’re on, and the people we are helping
• You make it a priority to get to know the people around you – build relationships with your colleagues and business partners
• You say what needs to be said, while considering how it’ll affect culture and output
• Hold others to a high standard

 Essential Duties and Responsibilities:

• Submits claims to payors in accordance with payor requirements and agency policy.
• Receives notices of claim rejections & denials.
• Properly track and resolve issues to ensure claim payment.
• Maintains complete and accurate accounts receivable records.
• Performs troubleshooting for billing error codes.
• May work with the payer or branch operational team to identify and resolve issues.
• Maintains accurate billing analysis reports and communicates implications promptly to the appropriate parties.
• Analyzes daily reports from the state and matches the approved payments to the client.
• Alerts the Operations Team and Manager regarding late or missing documents required for billing.
• Assists with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting Manager regarding seriously overdue accounts.
• Produces reports as needed.
• Performs administrative duties such as sorting, scanning, filing, and emailing records.​​​​
• Performs other duties as assigned.

Required Skills/Abilities:
 

• Self-motivated; reliable; strong attention to detail; maintains confidentiality; complies with all Company policies and procedures.
• Demonstrates excellent communication and customer service skills under duress at a fast pace; ability to function as a positive team member.

Education and Experience:

• High School diploma or GED required.
• One (1) to two (2) years’ experience of revenue cycle management or billing experience in the healthcare field
• Knowledge of Medicaid/Managed Care Organization (MCO) billing practices
• Experience with billing in an Electronic Data Interchange/3rd party clearinghouse environment.
• Intermediate to advanced computer skills, including the use of Microsoft Office applications

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