Revenue Cycle Support Specialist

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profile Job Location:

Nashville, IN - USA

profile Monthly Salary: Not Disclosed
Posted on: 7 hours ago
Vacancies: 1 Vacancy

Job Summary

Our Company

BrightSpring Health Services

Overview

This role supports the Revenue Cycle Support/Project Manager and Directors for Home Health Hospice and Private Duty. Must have strong AR background with various payers. This role includes ownership of Acquisition AR through transition to legacy systems. Ability to understand payer contracts and translate information into payer setup for multiple systems. Assists in tracking EDI enrollments. Will serve as a Subject Matter Expert and provide training as needed. Must have the ability to analyze information take appropriate steps if corrections are needed and quantify/share results. Ability to work with multiple teams to ensure collaboration and effective communication. Ensure compliance with corporate policies.

Responsibilities

  • Provides AR oversight for Acquisitions
  • Responsible for accurate payer setup in multiple billing system(s)
    • Confirms correct rate and claim presentation
    • Confirms success of transmissions upon initial setup
  • Responsible for accurate contractual allowance setup in multiple billing system(s)
  • Responsible for accurate calculation of expected reimbursement
  • Responsible for setup of new sites within Revenue Cycle Platforms
  • Proactively work acquisitions to avoid as many disruptions as possible
  • Works with EDI staff to ensure all eligible electronic options are enabled/utilized
  • Performs Month-End Close Procedures/Processes o Report variances
  • Reviews systems for non-admits or duplicate admissions
  • Solves system issues identifying root cause and next steps
  • Oversees portal admin/access WayStar setups and payer matching
  • Partners with pperations as needed to identify work through issues
  • Analyzes data for anomalies
  • Maintains excellent partnerships with multiple lines of business and departments
  • Coordinates to identify changes for governmental payors
  • Monitors for variances and facilitate research

Qualifications

  • Bachelors degree in Accounting Finance or Business preferred or equivalent work experience
  • Three or more years of relevant experience or CompTIA Project Certification preferred
  • Excellent verbal analytical and interpersonal skills
  • Intermediate level of Excel knowledge required for optimal functionality in the role
  • Proficiency in Microsoft Office suite is a plus
  • Ability to approach problem-solving challenges independently and have strong attention to detail
  • Ability to work in a fast-paced environment with collaborative and team-based objectives

About our Line of Business

BrightSpring Health Services provides complementary home- and community-based pharmacy and provider health solutions for complex populations in need of specialized and/or chronic care. Through the Companys service lines including pharmacy home health care and primary care and rehabilitation and behavioral health we provide comprehensive and integrated care and clinical solutions in all 50 states to over 450000 customers clients and patients daily. BrightSpring has consistently demonstrated strong and industry-leading quality metrics across its services lines while improving the quality of life and health for high-need individuals and reducing overall costs to the healthcare system. For more information please visit . Follow us on Facebook LinkedIn and X.

Required Experience:

IC

Our CompanyBrightSpring Health ServicesOverviewThis role supports the Revenue Cycle Support/Project Manager and Directors for Home Health Hospice and Private Duty. Must have strong AR background with various payers. This role includes ownership of Acquisition AR through transition to legacy systems....
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Key Skills

  • Business Development
  • Apprentice
  • Asset Management
  • ABAP
  • IT Strategy
  • Manufacturing

About Company

BrightSpring Health Services is a leading provider of comprehensive home and community-based health services to complex populations.

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