Revenue Cycle Validation Specialist- REMOTE

Connect America and our family of brands, including Lifeline, have helped aging individuals and at-risk populations live safely and independently in their homes for 50 years. As North America’s largest independent provider of connected care, we deliver a growing portfolio of innovative technologies that help bridge the gap between healthcare providers, individuals, and their care partners. Our easy-to-use solutions support health and safety in a way that leads to enhanced quality of life, earlier interventions, reduced hospitalizations and peace of mind for an estimated 10 million lives every year. Together, we are enabling independence and redefining the global home healthcare market. 

Connect America has been recognized as one of Philly Happening’s Best Places to Work. Our award-winning customer service team has received the Best Service Award from Today’s Caregiver. In addition, our healthcare division was named Top Ten Home Healthcare Solutions Provider in 2019 & 2020.

At Connect America, we treat all our customers and team members ethically and respectfully, creating relationships built on trust. We work as supportive team members, developing customer solutions in a collaborative manner. If you are a dedicated, compassionate team player, come be a part of an organization that makes a positive difference in the lives of those we serve.

Our headquarters are located close to the city of Philadelphia, in Bala Cynwyd, PA. Learn more at www.connectamerica.com.

Job Function:

Ensure data entered in the RCM Billing System is validated with each contractual obligation, which may include verifying authorization and eligibility requirements. Keeping the percentage of unbilled revenue to under 5% on all assigned accounts. Verifying installed equipment is invoiced resulting in increased revenue for the business.  Proactively requesting data while managing a healthy relationship with our Clients and Payers.

Responsibilities:

• Ensure all accounts assigned have valid authorizations for equipment installed 
• Ensure accurate and timely submission into the RCM Billing System of all newly installed equipment prior to monthly billing activities and within 48 hours of reporting
• Request all documentation in accordance with our contractual obligation such as, but not limited to, signed General Prescription Form (GPF)
• Able to sign all necessary Installation notifications and/or account documentation within appropriate Payer guidelines
• Ensure assigned accounts have 5% or less unbillable revenue
• Quality assurance error rate of 7% or less
• Ensure all data is collected and revenue is billed prior to Payer filing limits
• Work on deceasing revenue loss, increasing the department Retention percentage
• Deceasing terminations due to loss of coverage and/or eligibility by finding other funding source
• Encourage monthly testing of equipment every 30 days within payer compliance
• Understand and perform research of all historical data with accounts assigned 
• Confidence to act when speaking to an account within Leadership guidelines to resolve issues
• Process Payer Changes and/or terminations within the Retention process
• Communicate in a highly professional manner and nurture a healthy relationship with Clients and/or Payer accounts
• Working as a Team member, assisting others as needed 

Position Requirements:

• 6 months of billing, finance, or accounting experience (insurance preferred)
• 1 year of college coursework or equivalent work experience
• Basic excel skills
• Exceptional organizational and time management /prioritization skills
• Skilled at problem-solving 
• Skilled at verbal and written communication, including knowledge of email etiquette
• Basic knowledge of billing concepts such as reconciliation, posting, deposits, debits, and credits
• Demonstrated attention to detail
• Willingness to work as part of a collaborative team, but also independently accomplish tasks
• Understand HIPAA and privacy regulations
• Demonstrate ethical business practices