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Job description
Revenue Cycle Support Specialist
Job Locations
US-TN-NASHVILLE
ID
Line of Business
BrightSpring Health Services
Position Type
Full-Time
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
Bachelor's 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 health solutions for complex populations in need of specialized and/or chronic care. Through the Company's service lines, including pharmacy, home health care, and rehabilitation, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 475,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and industry-leading quality metrics across its services lines, while improving the health and quality of life for high-need individuals and reducing overall healthcare system costs.For more information, please visit Follow us on Facebook, LinkedIn, and X.
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.