Regional Revenue Cycle Specialist

About the role

Responsible for overseeing the prebilling and follow-up of reimbursement functions of home health branches within an assigned region. Partners closely with the regional leadership, branch operations, and other revenue cycle teams to optimize financial performance and ensure timely billing of compliant claims. Prepares and presents weekly summaries with clear deadlines and action items to regional operations leadership teams. This position is eligible for 100% remote but the employee must reside in one of the following states where Enhabit currently operates: AK, AL, AR, AZ, CO, CT, FL, GA, ID, IL, IN, KS, KY, LA, MA, MD, MO, MS, MT, NC, NM, NV, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WY.

Responsibilities

• Complete daily follow up of incoming held claims and updates or releases appropriately.
• Follow up on open billing issues, as identified, within two working days.
• Evolve/Implement a simple weekly dashboard for operations leadership for the region they are supporting to include unbilled action items, DSO, held claims drivers, and top referral/physician issues.
• Act as a point of contact between branches and revenue cycle teams to ensure documentation holding claims is actively being pursued and obtained.
• Manage billing responsibilities to keep unbilled at 20% or less of total branch revenue.
• Perform face to face (F2F) reviews for new admissions.
• Perform quality assurance (QA) audits as directed.
• Periodic travel to regional offices across region as needed.
• Demonstrate qualifications and competencies consistently and reliably.
• Complete all other duties as assigned.

Requirements

• Required to have High School Diploma or equivalent.
• Preferred minimum three years of experience with Medicare and other Episodic related billing functions.
• Preferred previous experience preparing and presenting key performance indicators (KPI) trends to leadership.
• Oral communication, written communication, fluency in English, active listening.
• Demonstrated intermediate technology skills, especially MS Office, including Word, PowerPoint, and Excel.
• In-office attendance is essential unless designated as a full-time remote position.

Benefits

Enhabit offers competitive benefits designed to support well-being and help employees thrive in every stage of their careers. Eligible employees receive:

• Generous paid time off for full-time employees
• 401(k) matching
• Medical, dental, and vision coverage
• Supplemental insurance options
• Flexible spending accounts
• Incentive bonus opportunities
• Continuing education and scholarship opportunities