Revenue Cycle Specialist

Be part of a renowned team at Silverado, a Fortune Magazine Best Workplace in Aging Services™, where exceptional care meets exceptional careers! Silverado Associates take pride in knowing the world is a better place because of what we do and feel fortunate to be part of a dedicated team. We have the chance to learn every day, the opportunity to grow, and the ability to help others.

We are currently seeking a Revenue Cycle Specialist to join our team!

The Revenue Cycle Specialist will be responsible for timely submission of all billing elements for multiple Silverado Hospice sites. This role involves working with the Revenue Cycle Team and hospice sites to ensure timely and accurate billing according to Medicare and Medicaid guidelines to maximize collections. This position requires close collaboration with others, excellent technical skills, attention to detail, and a thorough understanding of billing and collections, including claim submission, correction, and appeals.

Schedule: In-office, Monday-Friday

Why choose Silverado? 

• We're ranked 6th nationwide by Fortune Magazine in their Best Workplaces in Aging Services list, marking our 3rd consecutive year in the top 10!  


• Certified as a Great Place to Work® for seven consecutive years 


• We value internal mobility; Silverado provides growth opportunities for just about any position on our teams 


• We offer paid training!

Qualifications:

• 2 years of Medical Billing experience; Hospice billing experience preferred


• Medical Billing & Coding Certification preferred


• Knowledge of Medicare Hospice billing guidelines


• Competency in Microsoft Office and technical knowledge to learn new software as needed


• Associates must have reliable means of transportation to consistently meet attendance and punctuality standards. This role does not require a valid driver’s license or personal vehicle unless specified in additional job requirements

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 Accounts Receivable Aging reports, Activity Reports, Cash Posting Reports, and Remittance Advice/Explanation of Benefits


• Monitor claim status to address rejections, returned claims, and denials promptly


• Document claims status and collections activities in the Accounts Receivable system, setting and completing follow-up actions as scheduled


• Identify issues that could cause a claim to be rejected or denied and request necessary information from sites or management promptly


• 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, attempt resolution, and refer to management when necessary


• Continuously update knowledge of Medicare Guidelines for Hospice Billing to ensure compliance


• Effectively manages timely filing of claims and appeals within contractually defined terms


• Perform additional duties as assigned

#LI-SR1

We are looking for someone who:  

• Loves people 


• Has compassion and patience  


• Is comfortable working around animals and pets


• A quick learner who is dedicated to professional growth


• Is ethical, honest, dependable, and open-minded  


• Is an effective communicator in both verbal and written English 

Silverado offers the following benefits to eligible employees: 

• 401(k) matching


• Health, Dental and Vision Insurance


• Flexible Spending Account (FSA), Health Savings Account (HSA) 


• 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 is not using outside recruiters to source for this position and will not accept agency or non-Silverado recruiter represented candidates in connection with this job posting. *

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.

To view California Consumer Privacy Act (CCPA) information, please visit this page: https://www.silverado.com/legal-disclaimers/#Consumer-Privacy-Act-Disclosure

To maintain our world class standard, all offers of employment with Silverado are contingent upon a satisfactory background check as well as drug screening, a physical and TB testing (if required for the position). Silverado also uses E-Verify to confirm work authorization with both the Social Security Administration and the Department of Homeland Security. 

EOE/M/F/D/V