Palliative Care Revenue Cycle Specialist (Medicare Part B)

Medical Billing SpecialistPathways Healthcare is a leading, physician- and nurse practitioner-led home health and hospice organization, committed to redefining recovery through comprehensive, patient-centered care. Our innovative Medical Rehabilitation Program offers a meaningful alternative to institutional rehab, helping people heal at home, with dignity and purpose.We are proud to be ranked #22 Best Places to Work in Massachusetts and #51 Best Places to Work in the United States!Position Details:Main Office location: Westwood, MAJob Type: Full TimeSchedule: Monday - Friday; 8:30 AM - 5:00 PMHybrid or Remote Schedule SupportedResponsibilities:Prepare, review, and submit Medicare Part B and commercial claims for palliative care servicesEnsure accurate CPT, HCPCS, and ICD-10 coding in accordance with CMS and payer guidelinesReview provider documentation for billing compliance and completenessMonitor claim status and proactively resolve rejections, denials, and underpaymentsSubmit corrected claims and appeals with appropriate supporting documentationPost payments and reconcile accounts receivableMaintain aging reports and support efforts to reduce Days in A/RCollaborate with Intake, Clinical, Credentialing, and Compliance teams to ensure proper billing setup and provider enrollmentStay current with CMS regulations and payer-specific changesSupport audits and internal compliance initiativesIdentify process improvement opportunities to enhance clean claim rate and revenue captureQualifications:High school diploma required; Associate's or Bachelor's degree preferredMinimum 2+ years of medical billing experience requiredStrong experience with Medicare Part B professional fee billing requiredKnowledge of CPT, HCPCS, ICD-10 coding, and CMS billing regulationsExperience managing denials, appeals, and accounts receivableHigh attention to detail and strong organizational skillsComfortable collaborating across departments and communicating billing requirementsProficiency with EMR and billing systems; strong computer and technology skillsAbility to prioritize and manage follow-ups in a fast-paced healthcare environmentOur Benefits:Medical Coverage: Choice of HMO and PPO medical plans to meet the needs of you and your familyDental & Vision: Comprehensive dental and vision coverageLife Insurance: Employer-provided life insurance for added peace of mindPaid Time Off:3 weeks of PTO annually, accrued throughout the year4 weeks of PTO annually accrued throughout the year, after two years of serviceSick Time: 1 week (40 hours) of paid sick time per yearShort-Term Disability: 100% company-paid short-term disability coverageFlexible Spending Accounts (FSA): Pre-tax accounts available for healthcare and dependent care expenses401(k) Retirement Plan with employer matchEmployee Assistance & Benefits Support through BennieVoluntary Benefits including supplemental life, accident, and disability insurance8 Paid Holidays observed annuallyProfessional Development & Training OpportunitiesPathways Healthcare is committed to providing exceptional care to our patients and fostering a positive work environment for our team members. If you're passionate about making a difference in people's lives and possess the required qualifications, we encourage you to apply for this exciting opportunity!