Revenue Cycle Management Insurance Follow Up Representative

Revenue Cycle Management Insurance Follow Up Representative 400 Perimeter Center Ter NE, Atlanta, GA 30346 $60,000

• $65,000 a year
• Full-time $60,000
• $65,000 a year
• Full-time RCM Insurance Follow Up Representative
• Home Care Full-time Monday
• Friday 9a
• 5p•

ONSITE/IN OFFICE

$60k

• $65k salaried position Must have prior experience in full cycle RCM (from the Payor side) within Home Healthcare/Hospital Systems preferred Must be able to work independently and with a team

Job Summary:

Vitasya Healthcare Consultants, LLC is seeking an RCM Insurance Follow Up Representative to manage a portfolio of accounts within client partners' Government and Commercial Accounts Receivable in a home health care environment. This role is integral to the end-to-end revenue cycle, with a strong focus on resolving unpaid home health claims and optimizing reimbursement. This position is responsible for the timely, compliant, and insurance-centered resolution of outstanding accounts, ensuring proper documentation for home health-specific billing. The RCM Insurance Follow-up Representative plays a key role in denial management, underpayment recovery, and accounts receivable (A/R) reduction, supporting overall agency financial performance.

Key Responsibilities:

Perform comprehensive follow-up on assigned insurance accounts via payer portals, clearinghouses, and outbound calls to ensure timely resolution and reimbursement for home health services Analyze payer reimbursement methodologies specific to home health (e.g., Patient-Driven Groupings Model

• PDGM, episodic rates, and fee for service) Identify, investigate, and resolve home health denials and underpayments; implement strategies to prevent recurring issues Prepare and submit/re-submit claims with a high degree of accuracy, ensuring proper coding (HCPCS, ICD-10), documentation, and compliance with home health billing requirements Collaborate with payers and internal departments (e.

g., clinical, coding, intake) to resolve eligibility, authorization, and homebound status issues Manage claim inventory, including electronic and manual submission processes, while adhering to timely filing guidelines Maintain accurate, audit-ready documentation of all account activity within client systems and workflow tools

Required Skills & Qualifications:

Strong knowledge of home health billing practices and claim forms (CMS-1500) In-depth understanding of the home health revenue cycle, particularly insurance follow-up and denial resolution Familiarity with home health payer guidelines, reimbursement structures (PDGM), and managed care contracts Ability to navigate multiple systems (EHR, billing platforms, payer portals) with efficiency and accuracy Excellent written and verbal communication skills, including experience handling payer escalations regarding home health authorizations Strong attention to detail, analytical thinking, and problem-solving abilities Patient-focused mindset with an understanding of the financial patient experience and home health care delivery

Preferred Qualifications:

Experience working with Medicare (including Home Health Agencies

• HHAs), Medicaid, and commercial payers in a home health or hospice setting Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) Knowledge of HIPAA and healthcare compliance regulations Proven ability to collaborate effectively with cross-functional teams and clinical leadership #VHC1

Pay:

$60,000.00

• $65,000.

00 per year

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Experience:

Medical Revenue Cycle:

5 years (Required)

Medicaid Billing:

5 years (Required)

Medical Collection:

5 years (Required)

Hospital Billing:

2 years (Preferred)

Homecare:

2 years (Preferred) AR/AR Follow up: 5 years (Required)

Work Location:

In person