Revenue Cycle Specialist

Silverado

Irvine, CA

JOB DETAILS
SALARY
$30–$40 Per Hour
SKILLS
Accounts Receivable, Administrative Skills, Billing, Dental Insurance, Detail Oriented, Documentation, Homeland Security, Hospice Care, Identify Issues, Insurance Documentation, Maintain Compliance, Medicaid, Medical Billing, Medical Coding, Medicare, Microsoft Office, Recruiting/Staffing Agency, Regulatory Compliance, Root Cause Analysis, Social Security Administration, Team Player, Time Management, Tuition Reimbursement, Vision Plan
LOCATION
Irvine, CA
POSTED
5 days ago

Revenue Cycle Specialist

Description

Join Silverado Home Office, a memory care innovator ranked in the top 10 nationwide by Fortune Magazine Best Workplaces in Aging Services. Since 1997, Silverado has delivered exceptional care to individuals with neurodegenerative conditions. We're a certified Great Place to Work and proud to offer competitive pay, benefits, and growth opportunities.

We're hiring a Revenue Cycle Specialist - a detail-oriented and collaborative professional who ensures timely and accurate hospice billing across multiple sites.

Be a difference-maker with a memory care leader!

You're a billing expert with a strong understanding of Medicare and Medicaid guidelines. You thrive in fast-paced environments, enjoy solving complex billing challenges, and bring precision and accountability to every step of the revenue cycle.

What You'll Be Doing:

  • Prepare and submit Notices of Election, Notices of Termination/Revocation, and daily billing using EDI and manual data entry
  • Utilize AR Aging reports, Activity Reports, Cash Posting Reports, and Remittance Advice/Explanation of Benefits
  • Monitor claim status and address rejections, returned claims, and denials promptly
  • Document claims status and collection activities in the AR system, setting and completing follow-ups
  • Identify issues causing claim rejections or denials and request necessary information from sites or management
  • Prepare and submit effective Provider Dispute Resolution (PDR) requests and appeals
  • Post cash and analyze cash application transactions, including CARC and RARC codes
  • Independently research issues, determine root causes, and escalate to management when needed
  • Stay current on Medicare guidelines for hospice billing to ensure compliance
  • Manage timely filing of claims and appeals within contractually defined terms
  • Perform additional duties and special projects assigned

Qualifications:

  • Minimum 2 years of medical billing experience; hospice billing experience preferred
  • Medical Billing & Coding Certification preferred
  • Knowledge of Medicare hospice billing guidelines
  • Proficiency in Microsoft Office and ability to learn new software quickly
  • Reliable transportation to meet attendance and punctuality standards

Why Choose Silverado?

  • Fortune Magazine Best Workplaces in Aging Services list
  • Certified as a Great Place to Work
  • Strong internal mobility and paid training

Schedule: Full Time, Monday - Friday

#LI-SR1

Anticipated pay range

$30-$40 USD

Silverado offers the following benefits to eligible employees:

  • 401(k) matching
  • Health, Dental and Vision Insurance
  • Flexible Spending Account (FSA)
  • Paid time off
  • Tuition reimbursement and professional development assistance
  • Referral program
  • Other amazing benefits such as Pet Insurance, Auto and Home Insurance and Discount Programs!
  • Silverado does not accept candidates from outside recruiters or agencies for this role. *

California Employees: For roles requiring driving, the driving requirement has been deemed essential to the performance of this role due to specific business necessity. Supporting documentation is maintained by Silverado and is available for review upon request to ensure compliance with California law.

To view California Consumer Privacy Act (CCPA) information, please visit this page: https://www.silverado.com/legal-disclaimers/#Consumer-Privacy-Act-Disclosure

Employment offers are contingent on background check, drug screening, physical, and TB testing (if applicable).

Silverado uses E-Verify to confirm work authorization with both the Social Security Administration and the Department of Homeland Security

EOE/M/F/D/V

About the Company

S

Silverado

Transforming Lives At Silverado we believe dignity and respect are two of the most valuable commodities in the world. There is no higher praise for us than the smile of a happy patient, the thanks of a relieved client, or the revitalized embrace of an engaged resident. Our commitment to caring is something shared by every member of the Silverado family, and it forms the framework for how we operate. There is no exaggeration in saying that we want to change the world and raise its expectations for our industry.

Silverado team members choose to join our family based on their desire to be a part of something that makes lives better. In many cases they have experience with close family members requiring additional levels of care, so they understand the challenges and concerns that come with entrusting a loved one's care to another. From our executives to our nurses, from culinary staff to administrators, there is a common core belief: Everyone deserves a good quality of life. This is the culture of Silverado, and it has helped us bring greater respect and dignity to every life we touch.

INDUSTRY
Nonprofit Charitable Organizations
WEBSITE
https://www.silveradocare.com/