At Empower, we are proud to serve as a one-stop-shop business partner for healthcare organizations to support their administrative and employer needs. We strive to be more than a workplace, but also a community, where every voice is heard, and every team member is valued. Our team is driven by a shared mission to create a positive impact on healthcare organizations and the lives they touch. Join our team today to be part of our mission!

GENERAL PURPOSE:

The Revenue Cycle Specialist is responsible for billing, collections, and revenue cycle management functions.

ESSENTIAL FUNCTIONS:

• Prepares and submits insurance claims to appropriate payers.
• Ensures claims are received by payer timely, correcting, rebilling, or appealing as necessary.
• Follows up with payers to confirm accurate payment; contacts payers' claims departments to address and correct billing errors and omissions.
• Generates necessary reports including billing and collections.
• Answers patient questions and advises them on insurance coverage and benefits.
• Establishes repayment plans and arrangements with delinquent patients.
• Stays current with any payer-related changes; may be provider-specific or regulatory revisions.
• Actively contributes to special projects and offers feedback to improve processes.
• Analyzes AR, recognizing potential delays and trends with payers, and responds to avoid A/R aging.
• Escalates payment delays/problem aged accounts timely to Supervisor.
• Performs additional duties as assigned by Supervisor.

QUALIFICATIONS:

• High School Education or GED.
• Medical billing and collections background preferred.
• Experience in Home Health, Hospice, or Long-term care preferred.
• Knowledge of electronic billing via EMR and medical billing software.
• Understanding of the requirements of Medicaid, Medicare, and Insurance billing is preferred.
• Accounts Receivable skills and medical terminology is a plus.
• Computer proficiency – MS Office and web-enabled applications strongly preferred.
• Excel knowledge.

ADDITIONAL REQUIREMENTS:

• Willingness to learn.
• Self-motivation and the ability to work independently as well as in a team.
• Provide quality customer service to internal and external teams.
• Must be able to work productively in an environment with high levels of interruption; work efficiently and effectively meeting multiple deadlines and changing priorities with strong attention to detail.
• Exceptional organization skills.
• Ability to maintain confidentiality.
• Ability to effectively communicate with all levels of management.
• Strong work ethic: results-focused with a strong desire to achieve goals.
• Ability to use a computer keyboard and mouse 6–8 hours a day.
• Occasionally lift/carry items weighing up to 25 lbs.
• Ability to dial, answer, and talk on a telephone for multiple hours a day.
• Ability to complete tasks in a high-interruption environment while paying close attention to detail.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities. 

JOB CODE: 1000062