MINIMUM QUALIFICATIONS:

• Four (4) year college degree in healthcare administration, business, finance, or related field.


• Minimum two (2) years of healthcare revenue cycle, reimbursement, or related business experience (home health preferred).


• Minimum two (2) years of experience with BAYADA revenue cycle operations.


• Demonstrated record of goal achievement and exceeding performance standards.


• Proven ability to analyze and interpret revenue cycle data and create actionable reports.


• Strong interpersonal skills with a demonstrated ability to build collaborative relationships.


• Excellent written, verbal, and presentation skills.


• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook); familiarity with business intelligence tools and EMR systems.


• Understanding of basic business software applications required to perform job functions.


• Highly organized with strong attention to detail and ability to manage competing priorities.


• Customer service mindset with commitment to excellence and reliability.


• Specialized knowledge (as applicable to assignment):
  
  
  
  • Collections: Comprehensive understanding of collection processes across all payer types (Medicare A/B, Medicaid, FFS, PDGM, and Managed Care for Home Health & Hospice).
  
  
  • Insurance Verification: In-depth understanding of insurance verification processes.
  
  
  • Authorizations: Thorough knowledge of authorization requirements for all applicable payers.
  
  
  • Billing & Support: Strong understanding of revenue cycle management functions across billing and reimbursement.
  
  
  
  

PRIMARY RESPONSIBILITIES:

• Serve as a subject matter expert on designated revenue cycle functions (insurance verification, authorization, billing, collections, payer setup, payer performance, and EMR system support).


• Prepare, analyze, and distribute recurring and ad hoc reports to highlight trends, risks, and opportunities for improvement.


• Identify and escalate front-end revenue cycle, payer, billing, or collection issues and recommend solutions to improve reimbursement and reduce days sales outstanding (DSO).


• Partner with service offices and reimbursement staff to address denials, reimbursement delays, and preventable bad debt.


• Conduct root cause analyses of revenue cycle challenges and recommend process improvements to eliminate inefficiencies and manual work.


• Provide training, guidance, and technical support to associates and senior associates as assigned and needed.


• Collaborate with designated team members to provide technical support.


• Conduct quality audits to ensure compliance with standards and share results with leadership for next steps.


• Facilitate quarterly account management meetings with the service offices to review revenue cycle performance, develop corrective action plans as necessary, and lead collaborative efforts to improve the process to minimize bad debt.


• Lead or support initiatives related to process improvement, new payer implementation, and cross-functional collaboration.


• Develop and deliver in-service education and cross-functional training programs based on the Revenue Cycle Management office's needs.


• Serve as a key point of contact for reimbursement-related inquiries from internal stakeholders.

BAYADA believes that our employees are our greatest asset:

• Base Salary: $67,000-90,000 / year depending on qualifications


• BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program


• To learn more about BAYADA Benefits, click here