Revenue Cycle Specialist
4 days ago
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OnsiteFull-timeMid
Summary
LIFE-NWPA is seeking a Revenue Cycle Specialist to join their team in Pittsburgh, PA. The role involves managing Medicare and Medicaid enrollment and revenue operations for the Program of All-Inclusive Care for the Elderly (PACE).
About the Role
As a Revenue Cycle Specialist, you will lead the coordination and oversight of PACE participant enrollments, ensuring compliance with federal and state regulations. Your responsibilities will include monitoring and reconciling enrollment data, serving as a liaison with government agencies and internal teams, and collaborating on projects to enhance revenue cycle processes.
About You
Required:
- Bachelor's or master's degree in Health Policy, Healthcare Management, Biobehavioral Health, Business, or related field.
- 3+ years of experience in health plan administration, provider network management, or healthcare quality improvement.
Preferred:
- Deep knowledge of healthcare operations and regulatory standards (e.g., NCQA).
- Hands-on proficiency in Microsoft Office Suite and healthcare analytics or CRM platforms.
Benefits
- 9 Paid Holidays
- 3 Weeks and 1 Day of Paid Time Off Accrued from the Date of Hire for Full-Time Employees
- Medical, Dental, & Vision
- Free Life and AD&D Insurance Plan
- Health Savings and Flexible Spending Accounts
- Short Term Disability Insurance
- Group Voluntary Term Life Insurance for Employee, Spouses, and Dependents
- Paid Parental Leave
- Tuition Reimbursement
- Retirement Plan with Up to 5K Matching Annually / Vesting Schedule (Pre-taxable Savings)
LIFE-NWPA
The state of Pennsylvania participates in a federal program that offers healthcare options and services to individuals who may need a higher level of care or even a nursing facility. Living Independence For the Elderly - Northwestern Pennsylvania (LIFE-NWPA) helps individuals with chronic care needs to be served in their homes and communities for as long as possible through an all-inclusive and preventative approach to care.
Pittsburgh, PA