Revenue Cycle Specialist Job Irvine California USA,Healthcare

Join Silverado Home Office, 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. We’re a certified Great Place to Work and proud to offer competitive pay, benefits, and growth opportunities.

We’re hiring a Revenue Cycle Specialist – a detail-oriented and collaborative professional who ensures timely and accurate hospice billing across multiple sites.

Be a difference-maker with a memory care leader!

You’re a billing expert with a strong understanding of Medicare and Medicaid guidelines. You thrive in fast-paced environments, enjoy solving complex billing challenges, and bring precision and accountability to every step of the revenue cycle.

What You’ll Be Doing:

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, setting and completing follow-ups
Identify issues causing claim rejections or denials and request necessary information from sites or management
Prepare and submit effective Provider Dispute Resolution (PDR) requests and appeals
Post cash and analyze cash application transactions, including CARC and RARC codes
Independently research issues, determine root causes, and escalated 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
Perform additional duties and special projects assigned

Qualifications:

Minimum 2 years of medical billing experience; hospice billing experience preferred
Medical Billing & Coding Certification preferred
Knowledge of Medicare hospice billing guidelines
Proficiency in Microsoft Office and ability to learn new software quickly
Reliable transportation to meet attendance and punctuality standards

Must be available to work in-office Monday through Friday.

Schedule:

Full Time, Monday - Friday

Benefits:

401(k) matching
Health, Dental and Vision Insurance
Flexible Spending Account (FSA)
Paid time off
Tuition reimbursement and professional development assistance
Referral program
Other amazing benefits such as Pet Insurance, Auto and Home Insurance and Discount Programs!

Silverado does not accept candidates from outside recruiters or agencies for this role.

California Employees:
For roles requiring driving, the driving requirement has been deemed essential to the performance of this role due to specific business necessity. Supporting documentation is maintained by Silverado and is available for review upon request to ensure compliance with California law.

Employment offers are contingent on background check, drug screening, physical, and TB testing (if applicable).

Silverado uses E-Verify to confirm work authorization with both the Social Security Administration and the Department of Homeland Security.

EOE/M/F/D/V

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