Revenue Cycle Specialist

About the role

Join Acacia Health, a growing family of home health, hospice, and palliative care companies committed to delivering compassionate, high-quality care to patients and families across Southern California. We are focused on clinical excellence, compliance, operational efficiency, and creating a supportive environment where team members can grow and make a meaningful impact.

Responsibilities

• Prepare, review, and submit claims, Notices of Election, Notices of Termination/Revocation, and other required billing documentation using EDI and manual processes as needed
• Monitor claim status and promptly address rejections, returned claims, denials, and payer requests
• Document claim status, collection activity, followup actions, and resolution steps in the appropriate billing and AR systems
• Identify root causes of claim rejections, denials, billing holds, and payment delays; coordinate with clinical, intake, authorization, and operations teams to resolve issues
• Prepare and submit payer appeals, reconsiderations, and Provider Dispute Resolution requests when appropriate
• Post cash receipts and analyze cash application transactions, including CARC and RARC codes
• Maintain current knowledge of Medicare, Medicaid, managed care, and hospice/home health billing requirements
• Support timely filing requirements for claims, appeals, and corrected claims in accordance with payer rules and contract terms
• Communicate professionally with payers, internal departments, and management regarding claim status, documentation needs, and reimbursement issues
• Assist with monthend revenue cycle reporting, AR cleanup, audits, and special projects as assigned

Qualifications

• Minimum 2 years of medical billing or revenue cycle experience; home health or hospice billing experience strongly preferred
• Working knowledge of Medicare hospice and/or home health billing guidelines preferred
• Experience with HCHB, EDI claims submission, payer portals, remittance review, denial followup, and AR workflows preferred
• Medical Billing and Coding Certification preferred but not required
• Strong proficiency with Microsoft Office, especially Excel, and ability to learn new systems quickly
• Excellent attention to detail, followthrough, organization, and problemsolving skills
• Ability to work independently while collaborating effectively with clinical, intake, authorization, billing, and finance teams
• Reliable attendance and punctuality are required
• Must be available to work Monday through Friday during regular business hours