Revenue Specialist Home Health

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Job Information

Kindred at Home

Revenue Specialist Home Health

in

Marietta

Georgia

As a Revenue Specialist

, you will:

Daily audit of admission, discharge and other source documentation to ensure revenue is recognized appropriately and all conditions of payment are met.

Verify patient eligibility and payor coverage guidelines to ensure that all necessary information is secured for timely, accurate revenue recognition

Weekly generation of site revenue and resolution of batch errors and bill holds as appropriate.

Weekly communication with site leadership detailing outstanding documentation or other issues resulting in a potential loss of revenue.

Prepare and submit invoices to Accounts Payable for reimbursement and performs follow up to ensure accurate, timely payments are made to our facility partners

Prepare, submit and follow up on authorization and re-authorization requests according to applicable state and commercial payor guidelines.

Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing

Ensure all internal controls and related policies/procedures are implemented and followed in accordance to the accounts receivable requirements.

Ensure all payer requirements are met accordingly, including pre-cert requirements, notification requirements, and level of care change required documents.

Alerts appropriate team members at the Site regarding late or missing documents required for billing.

Establish and maintain positive working relationships with Sites, Nursing Home Facilities, and AR Teams.

Maintain the confidentiality of patient/client and agency information at all times.

Maintain accurate and up to date information for all vendor and nursing facility contracts.

Keep information in an orderly manner readily accessible for review. Presents status as requested.

Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures

Participate in special projects and performs other duties as assigned.

Assist with training of newly-hired associates, as well as re-education of revenue teams as necessary.

Act as an information resource for any hard revenue generation issues or system issues. Basically the subject matter expert.

Assure the completion and coordination of work in an associate’s absence, or as needed to maintain departmental standards.

Required Experience/Skills:

One to two years related experience and/or training preferred.

Two years Home Health care or Medical Office experience preferred.

Knowledge of insurance reimbursement and authorization process preferred.

Skilled in the use of computers and the Microsoft Office applications.

SAP and/or HealthCare System knowledge is preferred.

Two years college preferred.

This role requires full COVID-19 vaccination.

Required Skills

Together, we can raise the bar on home healthcare

CenterWell™ Home Health (formerly Kindred at Home), is one of the nation’s leading providers of home care, with an incredible team of compassionate clinicians who deliver high-quality, specialty care to patients. Many of our clinicians live in the same neighborhoods they serve – providing the much-needed care to people in their community.

As a company, we strive to lead by example and show employees the same compassion and care we expect them to show patients. We provide employees the resources, stability, and job flexibility they truly deserve. We help them fulfill their personal and professional goals while enjoying industry-leading benefits, competitive salaries, opportunities for career and professional growth, and a healthy work/life balance.

Part of Humana’s Home Solution business

CenterWell Home Health cares for nearly 80,000 patients every day in over 350 locations, across 38 states. As part of Humana Inc., we create experiences that put patients at the center, working in collaboration with healthcare providers to bring multidisciplinary care directly to the comfort and safety of home. The result is easy, comprehensive and personalized care that helps patients lead healthier, happier lives.

Caring for people who care for our patients

Experience has shown us that supporting and nurturing employees helps them become the best version of themselves and more compassionate, committed home health professionals. That’s why CenterWell Home Health never stops working to improve the employee experience. Our people are our greatest resource, and we are committed to creating an environment they enjoy stepping into every day.

World-class employee benefits

Competitive pay and benefits package

50% matching 401(k) contributions up to 6%

Career advancement opportunities

Tuition reimbursement program

Advanced Continuing Education (CE) accredited training

Required Experience

Join Our Team!

Check out our video to get a glimpse of a day in the life of our Home Health team - Home Health

To learn more, please contact your local recruiter at (toll-free) 855-563-2846 or apply online. Our Recruiters are ready to help you start a new and rewarding career with CenterWell Home Health.

Job Category: Corporate - Accounting, Finance, HR, IT, Marketing

ID: 83358

Company info

Humana Inc.
Website : http://www.humana.com