Revenue Cycle Management Operations Lead
New
A
Abby CareHealthcare
RemoteFull-TimeLead
Salary75,000 - 95,000 USD per year
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Job Details
- Experience
- 3-5 years
- Required Skills
- Microsoft Excel
Requirements
- High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred.
- Minimum 3-5 years of experience in medical billing.
- At least 1-2 years in a supervisory or leadership role.
- Proven expertise in home health care billing, including Medicare and Medicaid processes.
- Experience building, implementing, or improving billing processes and operational workflows.
- Intermediate Microsoft Excel proficiency.
- Certified Professional Biller (CPB) or equivalent preferred.
Responsibilities
- Lead the establishment of revenue cycle operations for a newly launched market.
- Develop, document, and implement SOPs, workflows, and operational best practices.
- Research and interpret Georgia and New Jersey Medicaid billing requirements.
- Partner with leadership to define team structure and KPIs.
- Transition into a people leadership role involving hiring, training, and coaching.
- Oversee the preparation, submission, and follow-up of insurance claims for home health care.
- Ensure accurate coding (CPT, HCPCS, ICD-10) and adherence to payer-specific guidelines.
- Monitor and resolve claim rejections, denials, and underpayments.
- Manage accounts receivable and collections.
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