Revenue Cycle Specialist at Illumia

Mooresville, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

21 May, 26

Salary

0.0

Posted On

20 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Troubleshooting, Problem-Solving, Revenue Cycle Operations, Medical Billing Workflows, Claims Processing, Payer Systems, Reimbursement Processes, Data Entry Accuracy, Independent Work, Collaboration, Clearinghouse Platforms, Payer Guidelines, Explanation Of Benefits (EOBs), Communication, Excel, Billing Tools

Industry

Hospitals and Health Care

Description

Overview Streamline Claims. Ensure Accuracy. Support Quality Care. We are seeking a detail-oriented and highly organized Revenue Cycle Specialist to support our billing operations through timely processing of Government and Commercial claims. This role plays a vital part in maintaining accurate medical records, identifying payer trends, and ensuring billing compliance across all areas of the revenue cycle. The ideal candidate will have experience in home health or hospice billing, with a strong understanding of payer systems and reimbursement processes. Key Responsibilities: Process assigned Medicare, Medicaid, and/or Commercial claims and payments accurately and within payer timelines. Track daily documentation for physician orders and signatures. Notify administration of missing documents and maintain patient medical records. Maintain required logs, rosters, and documentation records. Identify payer behavior trends and report unexpected patterns to the Revenue Cycle Manager. Participate in quality improvement activities related to billing performance. Communicate professionally with field staff regarding documentation and unbilled revenue. Follow up on outstanding billing items and understand clearinghouse edits and electronic billing rejections. Review and interpret Explanation of Benefits (EOBs) to determine next steps in payment posting or appeals. About You Skills and Qualifications: Excellent troubleshooting and problem-solving skills. Strong understanding of revenue cycle operations and medical billing workflows. Comfortable managing a high volume of claims in a metrics-driven environment. Ability to work with confidential data and maintain accuracy in data entry. Capable of working independently and collaborating with cross-functional teams. Skilled at using multiple computer applications and clearinghouse platforms. Familiarity with payer guidelines, filing limits, and billing edits. Strong verbal and written communication skills for engaging with clinical staff. Flexible and responsive to departmental and organizational needs. Education and Experience: Must be at least 18 years old with a high school diploma or GED. Minimum of 2 years of experience in Home Health or Hospice billing required. Technical Requirements: Advanced Microsoft Office skills, including basic to advanced Excel capabilities. Experience with Homecare HomeBase preferred. Experience with billing tools such as DDE, E-solutions, Waystar, and/or Nthrive is a plus. We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Apply now to be part of a team that delivers care with integrity. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace Location Gentiva Our Company At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states. Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis. Our nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care Home health care: Heartland Home Health Advanced illness management: Illumia Health With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.

Responsibilities

The specialist will be responsible for the timely processing of Government and Commercial claims and payments, ensuring accuracy and adherence to payer timelines. Key duties include tracking documentation, maintaining medical records, identifying payer trends, and following up on outstanding billing items.