Revenue Cycle Specialist – Home Health

Overview

A healthcare revenue cycle services provider is seeking a Revenue Cycle Specialist – Home Health to manage end-to-end revenue cycle processes for home health providers. This role focuses on accurate billing, claims processing, accounts receivable management, and denial resolution to improve financial performance and ensure compliance.

Responsibilities

• Submit and process claims accurately for Medicare, Medicare Advantage, Commercial, and Medicaid payors to ensure timely reimbursement.
• Manage denials, appeals, and redeterminations, resolving billing issues efficiently to maintain client satisfaction.
• Monitor and reconcile accounts receivable (AR), identify trends, and implement improvements to revenue cycle performance.
• Ensure compliance with CMS regulations, HIPAA standards, and agency-specific billing policies across multiple states and EMR platforms.
• Collaborate with clients and internal teams to provide revenue cycle insights, reporting, and process improvements supporting smooth operations and optimal cash flow.

Requirements

• 1–3 years of Home Health billing experience with strong knowledge of Medicare, Medicare Advantage, and Commercial payor rules.
• Experience with multistate billing and multiple EMR systems preferred.
• Proficiency with Microsoft Office Suite (Excel, Word, Outlook), cloud-based platforms, Zoom, and payor portals.
• Strong problem-solving skills and excellent written and verbal communication.
• Eligibility to work remotely within the US with occasional travel.
• Preferred certifications or licenses in Medical Billing, Revenue Cycle Management, or Home Health.
• Strong attention to detail and ability to manage multiple priorities across diverse client accounts.

Compensation & Benefits

• Competitive salary range: $42,000 to $58,000+ annually, based on experience.
• Comprehensive health coverage including medical, dental, and vision insurance.
• 401(k) retirement plan with employer matching.
• Life and disability insurance for financial security.
• Health savings and flexible spending accounts.
• Paid time off, flexible scheduling, and remote work options to support work-life balance.

Location

This is a remote position based in the United States with occasional travel required.

Equal Opportunity Statement

The employer is an equal opportunity organization that welcomes and encourages diversity in the workplace. Employment decisions are made without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected by law. Qualified applicants with criminal histories will be considered in accordance with applicable local and state fair chance laws.