Experienced healthcare revenue cycle professional focused on claims processing, billing, coding, payer regulations, and reimbursement within home health and hospice environments.
Locations (2)
Janesville, Wisconsin, United States
Illinois, United States
Compensation
PAY RANGE: $17.92 - $26.88
Responsibilities
Processes claims on a daily basis by demonstrating in-depth knowledge of billing procedures by payer
Research and correct claims when Epic/Brightree billing edits stop electronic transmission
Maintain in-depth knowledge of Federal and State regulations for Medicare and Medicaid billing
Utilize CPT/HCPC coding and modifiers for payment determinations
Understand managed care reimbursement methodologies
The Office Coordinator and Coder maintains a good attitude, strong, dependable work ethic, and uses excellent communication and organizational skills to oversee office/clinic system, ensuring efficient, effective, and patient-sensitive operations.
Compensation
$17.23 - $25.84
Responsibilities
Maintains/updates physician files
Maintains secretarial/organizational skills at high level
Maintains monthly patients/procedure information file for data collections/reporting and dissemination of same to appropriate personnel according to guidelines
Responsible for coding of all surgeries/visits under physician directions
Maintains high level of communication skills as well as computer/word processing skills
Evaluates patients and develops individualized treatment plans using therapeutic exercise, manual techniques, and other interventions to improve function and outcomes.
Compensation
$76,061.05 - $114,091.57
Responsibilities
Integrates subjective and objective data to establish a treatment plan.
Utilizes exercise, physical agents, and manual techniques to address deficits.
Maintains a thorough record of services provided with appropriate coding and billing.
Communicates with other disciplines and referring providers to enhance outcomes.
Performs thorough and timely electronic documentation.
Requirements
Graduate of an accredited school of Occupational Therapy
Lead and manage revenue cycle improvement engagements in Epic environments, driving AR reduction, cash acceleration, and payer yield improvement for healthcare organizations.
Compensation
This role has a salary range of $125,000-200,000.
Responsibilities
Manage Revenue Cycle improvement engagements, serving as a subject matter expert in back-end revenue cycle operations within an Epic environment.
Lead complex Revenue Cycle operational transformation engagements for healthcare organizations, serving as the back-end Revenue Cycle subject matter expert and leveraging Epic to drive sustainable improvements in reimbursement, cash flow, financial performance, and operational efficiency.
Assess, redesign, and optimize back-end revenue cycle workflows, including charge capture, coding, billing edits, claims submission, payment posting, denial management, accounts receivable follow-up, credit balance resolution, underpayment recovery, and collections.
Identify opportunities to improve revenue integrity, reimbursement, cash acceleration, denial reduction, and operational efficiency through process redesign, workflow optimization, and technology enablement.
Partner with client stakeholders to align back-end revenue cycle operations with Epic capabilities, implementing sustainable solutions that improve clean claim rates, reduce denials, optimize reimbursement, and strengthen revenue cycle performance.
Software Development Engineering (High Tech) focus on developing multiple types/categories of software including end-user applications and operating systems/utility software.
Responsibilities
Conducting requirements gathering and analysis to understand the domain of the software problem and/or functionality, the interfaces between hardware and software, and the overall software characteristics
Using programming, scripting, and/or database languages to write the software code
Supporting software testing, deployment, maintenance, and evolution activities by correcting programming errors, responding to scope changes, and coding software enhancements
Applying knowledge of software development best practices, including coding standards, code reviews, source control management, build processes, testing, and operations
The Pre-Bill Review Specialist is responsible for conducting comprehensive audits of patient charts prior to claim submission to ensure accuracy, completeness, and compliance with billing requirements in Home Health and Hospice programs.
Responsibilities
Perform detailed pre billing audits on all Home Health and Hospice charts to verify documentation completeness and accuracy.
Confirm all visit notes, supervisory notes, plans of care, OASIS assessments, certifications, and recertifications are signed, dated, and compliant with payer and regulatory requirements.
Completes an administrative record audit following patient discharge or prior to billing and forwards abnormal results to the Clinical Director.
Supervises the use of the clinical records information system and maintains a comprehensive working knowledge of the system.
Validate patient eligibility, insurance coverage, and authorization requirements prior to claim release.
Requirements
Nice to have: Prior experience conducting prebilling
Join Synergy’s highperforming revenue cycle team as a Pre-Bill Specialist! We are seeking a detaildriven, compliancefocused professional to ensure accuracy and completeness of all documentation before claims are submitted.
Responsibilities
Perform detailed prebilling audits on all Home Health and Hospice charts to verify documentation completeness and accuracy.
Confirm all visit notes, supervisory notes, plans of care, OASIS assessments, certifications, and recertifications are signed, dated, and compliant with payer and regulatory requirements.
Completes an administrative record audit following patient discharge or prior to billing and forwards abnormal results to the Clinical Director or their designee for clinical audit.
Supervises the use of the clinical records information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.
Validate patient eligibility, insurance coverage, and authorization requirements prior to claim release.
Requirements
Nice to have: Prior experience conducting prebilling or QA reviews in a Home Health or Hospice setting
Nice to have: CMS requirements for Home Health and Hospice admissions
Nice to have: signed orders compliance
Nice to have: regulatory forms and criteria for compliant billing
Nice to have: Home Care Home Base (HCHB) EMR
Skills
Radiologic Technologist I Interventional Radiology
Professionally trained individual who produces high quality radiographs for all interventional studies, assists with sterile setup, and maintains sterile technique throughout procedures.
Responsibilities
Operates interventional radiology equipment safely and efficiently while minimizing radiation exposure
Supports physicians during invasive procedures
Maintains sterile technique
Prepares and monitors patients throughout each exam
Completes QA tasks
Requirements
Graduate of an approved accredited program of Radiologic Technology
Radiologic Technologist I Interventional RadiologyNewSt. Elizabeth Healthcare · Edgewood, US