Revenue Cycle Management Specialist

Sandata Technologies, now part of HHAeXchange, is the pioneering force in home and community-based care, consistently leading the way with innovative technology solutions. The Sandata software solution has been implemented by thousands of homecare agencies nationwide, is leveraged by national MCOs, and has been selected by numerous state Medicaid agencies to ensure their compliance with the federal mandate to implement Electronic Visit Verification (EVV).

We are hiring an experienced Revenue Cycle Management (RCM) Specialist who thrives in a collaborative environment, working across multiple departments and engaging with diverse stakeholders to ensure our agencies are accurately reimbursed for their dedication and hard work.    

Must have a strong understanding of medical billing practices, insurance billing requirements, and reimbursement processes.  Strong communication and problem-solving skills, attention to detail, and the ability to work effectively in a fast-paced environment are also a must to succeed in this position.  

This position is in-office in Bloomington, MN. 

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily with or without reasonable accommodations.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Billing Cycle Management: Generating and submitting claims to insurance companies, government programs, and other payers for services provided to patients.
• Utilize agency management software to process billing tasks efficiently.

• Payment Posting: Recording and posting payments received from insurance companies, patients and other sources to the appropriate patient accounts in the billing system.
• Resolve short pays, monitor payment accuracy

• Accounts Receivable Management: Monitor and follow-up on unpaid claims, rejections/denials, and any outstanding balances to ensure timely collections.
• Research and resolve billing discrepancies or denial to facilitate reimbursement
• Collaborate with payers to address claim disputes.
• Proficient in industry-standard software platforms.

• Home Health Agency knowledge: Understanding the processes and requirements related to exchanging health care information with Home Health Agencies, including compliance with regulations and standards.
• Reconciliation: Performing regular reconciliation of accounts receivable records with payments received to identify and resolve discrepancies.
• Communication: Collaborating with other departments and agencies, to resolve billing and payment issues and improve processes.
• Compliance: Ensuring compliance with relevant healthcare regulations, such as HIPAA, and staying up to date with changes in billing and reimbursement guidelines.
• Reporting: Generating reports on billing and AR performance, including key metrics and KPIs.
• Effectively communicate with team members and management.
• Obtain and maintain an understanding of customers’ objectives and goals.
• Ensure security of personal health information (PHI) and report any violations or observations to management.

• Other duties as assigned by supervisor or HHAeXchange leader.

• Travel up to 10%, including overnight travel

• High school diploma required, Associate’s or Bachelor’s degree in healthcare administration, finance, or related field preferred
• A minimum of 3+ years of RCM experience in the homecare industry preferred
• Proficient in MS Office and MS Teams
• Strategic and creative mindset
• Excellent written and oral communication skills
• Critical thinker with innovative problem-solving skills
• Must be a self-starter and a team player

The base salary range for this US-based, full-time, and exempt position is $55,000 - $65,000 not including variable compensation. An employee’s exact starting salary will be based on various factors including but not limited to experience, education, training, merit, location, and the ability to exemplify the HHAeXchange core values.

This is a benefits-eligible position. HHAeXchange offers competitive health plans, paid time-off, company paid holidays, 401K retirement program with a Company elected match, including other company sponsored programs.

HHAeXchange is an equal-opportunity employer. The Company offers employment opportunities to all applicants and employees without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, medical condition, marital status, veteran status, citizenship, genetic information, hairstyles, or any other status protected by local or federal law.