Revenue Cycle Specialist

• Home Care Full-time Monday
• Friday 9a
• 5p $55k
• $65k salaried position Must have prior experience in full cycle RCM (from the Payer side) within Home Healthcare Industry Must be able to work independently and with a team

Job Summary:

Vitasya Healthcare Consultants, LLC is seeking a Revenue Cycle Specialist responsible for billing and collections process for a home healthcare agency operating under Medicaid, and commercial payer programs. This individual ensures timely and accurate claim submission, denial management, accounts receivable follow-up, and compliance with federal and state billing regulations.

Qualifications/Educational Requirements:

Minimum 5 years of experience in healthcare billing or revenue cycle, preferably in a home health or HCBS setting. Working knowledge of Medicaid billing requirements for home health or personal care services. Experience with EVV systems and clearinghouse claim submission workflows. Proficiency with home health billing platforms (e.g., Netsmart/Tellus, or similar). Familiarity with ICD-10, CPT, and HCPCS codes as applicable to home health services. Strong attention to detail, time management, and written communication skills.

Responsibilities/essential functions:

The person in this position must be able to perform the following essential job functions with or without reasonable accommodation. Monitor assigned AR aging buckets and perform timely follow-up on unpaid or underpaid claims. Identify claim denial trends and escalate systemic issues to the billing supervisor or manager. Submit appeals and corrected claims with appropriate supporting documentation. Document all account activity, follow-up actions, and payer correspondence accurately in the billing system. Prepare and submit clean claims across all payer types (Medicaid, Medicare, MCOs, private pay) in accordance with payer-specific requirements and filing deadlines. Perform claim scrubbing and error correction prior to submission to minimize rejections. Process EDI/ERA transactions and reconcile remittance advice against expected reimbursements. Verify EVV data accuracy and completeness prior to claim submission, identifying and resolving visit discrepancies. Process EVV exceptions including manual visit releases and document VSTR reason codes in compliance with state Medicaid requirements. Stay current on HCBS billing regulations, including state-specific Medicaid waiver rules, authorization requirements, and billing guidelines. #VHC1

Pay:

$55,000.00

• $65,000.

00 per year

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance Application Question(s): What are the common denial codes you have encountered? Describe your experience with specific payor appeals?

Experience:

Medical Revenue Cycle:

5 years (Required)

Healthcare/Medical Billing:

5 years (Required)

Medicaid Billing:

5 years (Required)

Medical Collection:

5 years (Required)

Work Location:

In person