Revenue Cycle Support Representative

HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was born out of an idea to create a fully comprehensive end-to-end homecare solution to help people who are aging or have disabilities thrive in their homes and communities. Today, our 700+ team members across the globe are passionate about transforming the healthcare space by building the only homecare ecosystem that fully connects patients, personal care providers, managed care organizations, and states.

We are seeking a motivated and multi-talented individual with strong customer service to join our Technical Customer Care team as a Revenue Cycle Support Representative reporting to the Sr. Manager of RCO and Integration. The Role will support client business needs, troubleshooting and supporting all support aspects of the revenue cycle management process.

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Job Duties

• This role requires a versatile and well-developed knowledge of billing, collections, technical denials appeal/correction.
• Foster and maintain critical working relationships with clients, payers, and cross functional internal stakeholders, ensuring accurate billing and collections while serving as Revenue Cycle support representative. 
• Proactively identify opportunities for improved reimbursement and address any issue related to payer and provider collections across all markets.
• Support Accounts Receivable A/R reconciliation by efficiently managing processing claims.
• Oversee revenue cycle activities to achieve benchmarks, ERA enrollments and troubleshooting X 12 N 837i/p files in conjunction with 999/277 responses.
• Knowledge of Professional and UB04 billing and electronic claims processing.
• Proficiency with mapping, testing and maintenance of electronic interfaces between healthcare software platforms and third-party vendors, including clearing houses. These interfaces will occur in different formats that may include text, csv, and XML.
• Ability to work in a deadline-driven environment and manage multiple projects simultaneously.
• Adhere to standardized policies and procedures.
• Review Revenue Cycle systems, including third party payer solutions.
• Able to support customers through Omnichannel/multichannel support offerings.
• Identify and relay opportunities for improvement externally and internally relating to application flow, required tools sets and operational procedures.

Other Job Duties

• Other duties as assigned by supervisor or HHAeXchange leader.

Travel Requirements

• None

Required Education, Experience, Certifications and Skills

• Minimum 2-4 years of Revenue Cycle and/or technical experience
• Healthcare industry and billing experience.
• Homecare knowledge a plus.
• Comfortable speaking with and troubleshooting clients claim issues over the phone, Chat, or ticketing solutions.
• Ability to utilize remote desktop sharing applications.
• Exemplary attention to detail and strong organizational skills required.
• Exceptional written, verbal, and interpersonal communication skills required.
• Exceptional Customer service aptitude, with the ability to thrive under pressure.
• Ability to multi-task and pivot with changing priorities.
• Proficiency in computer applications, particularly the Microsoft Office suite, with a focus on Excel.
• Experience working with CRM tools such as Jira, Salesforce Service cloud and applications.
• Knowledge and experience working with X12N 837i/837p Claim Files, 835 Remittance Files, 999 responses and 277ca for all payers in various states, including Medicaid.
• Competency in both independent work and collaborative teamwork
• AAPC/CRCR/CRCP certification a plus.
• Deliver positive internal and external clients experience.

The base salary range for this US-based, full-time, and exempt position is $57,000-60,000/yr, not including variable compensation. An employee’s exact starting salary will be based on various factors including but not limited to experience, education, training, merit, location, and the ability to exemplify the HHAeXchange core values.

This is a benefits-eligible position. HHAeXchange offers competitive health plans, paid time-off, company paid holidays, 401K retirement program with a Company elected match, including other company sponsored programs.

HHAeXchange is an equal opportunity employer. The Company offers employment opportunities to all applicants and employees without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, medical condition, marital status, veteran status, citizenship, genetic information, hairstyles, or any other status protected by local or federal law.