Regional Revenue Cycle Specialist

Responsible for overseeing the prebilling and follow-up of reimbursement functions of home health branches within an assigned region. Partners closely with the regional leadership, branch operations, and other revenue cycle teams to optimize financial performance and ensure timely billing of compliant claims. Responsible for preparing and presenting weekly summaries with clear deadlines and action items to their regional operations leadership teams.

AK, AL, AR, AZ, CO, CT, FL, GA, , IL, IN, KS, KY, LA, MA, MD, MO, MS, MT, NC, NM, NV, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WA, WY.

• Complete daily follow up of incoming held claims and updates or releases appropriately.
• Follow up on open billing issues, as identified, within two working days.
• Evolve/Implement a simple weekly dashboard for operations leadership for the region they are supporting to include unbilled action items, DSO, held claims drivers, and top referral/physician issues.
• Act as a point of contact between branches and revenue cycle teams to ensure documentation holding claims is actively being pursued and obtained.
• Manage billing responsibilities to keep unbilled at 20% or less of total branch revenue.
• Perform face to face (F2F) reviews for new admissions.
• Perform quality assurance (QA) audits as directed.
• Periodic travel to regional offices across region as needed (