Revenue Cycle Specialist

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, 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
• Identify issues causing claim rejections or denials and request necessary information
• Prepare and submit effective Provider Dispute Resolution (PDR) requests and appeals
• Post cash and analyze cash application transactions, including CARC and RARC codes
• 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

Requirements

• Minimum 2 years of medical billing experience
• Knowledge of Medicare hospice billing guidelines
• Proficiency in Microsoft Office
• Ability to work in-office Monday through Friday

Preferred Qualifications

• Hospice billing experience
• Medical Billing & Coding Certification

Benefits

• 401(k) matching
• Health, Dental and Vision Insurance
• Flexible Spending Account (FSA)
• Paid time off
• Tuition reimbursement and professional development assistance
• Referral program
• Pet, Auto, and Home Insurance discount programs

About the Company

Silverado is 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.