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Revenue Cycle Representative - Facilities

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ResMed

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Location:
India , Chennai

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Category:
Finance

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Contract Type:
Not provided

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Salary:

Not provided
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Job Description:

The Revenue Cycle Representative – Facilities (SNF & LTC) is responsible for supporting the end‑to‑end revenue cycle operations for Skilled Nursing Facility (SNF) and Long‑Term Care (LTC) services. This role performs a full range of activities including billing, cash posting, accounts receivable (A/R) follow‑up, and payer resolution. The representative ensures accurate and timely reimbursement by maintaining compliance with payer guidelines, resolving claim issues, and delivering high‑quality financial support to the organization.

Job Responsibility:

  • Prepare, review, and submit electronic and paper claims for SNF and LTC services to Medicare, Medicaid, Managed Care plans, and commercial payers
  • Verify claim accuracy, including rates, patient liability, room and board charges, therapy services, and ancillary items
  • Monitor and resolve held, rejected, or denied claims prior to submission
  • Ensure billing compliance with regulatory requirements specific to SNF and LTC, including UB‑04 claim standards and state Medicaid guidelines
  • Coordinate with facility teams to reconcile documentation, correct billing issues, and ensure timely claim submission
  • Post all incoming payments, adjustments, and remittance information accurately and timely into the billing system
  • Reconcile daily deposits, EFTs, ERAs, and lockbox transactions
  • Identify and correct payment discrepancies, underpayments, and payer errors
  • Process and document refunds or recoupments in accordance with internal and regulatory standards
  • Maintain accurate cash logs and ensure proper month‑end balancing
  • Manage an assigned A/R portfolio to reduce outstanding balances and achieve department targets
  • Conduct follow‑up with payers on unpaid, denied, or delayed claims
  • Research claim statuses using payer portals, provider lines, and remittance details
  • Initiate appeals and reconsiderations with the appropriate documentation
  • Track and resolve authorization issues, eligibility discrepancies, and coverage conflicts affecting payment
  • Collaborate with facilities to obtain clinical documentation, medical records, or supporting materials needed for claim resolution
  • Maintain up‑to‑date knowledge of Medicare, Medicaid, and Managed Care SNF/LTC billing regulations
  • Follow HIPAA, regulatory, and organizational guidelines
  • Support audit initiatives by providing billing records, remittances, and payer correspondence
  • Document all actions accurately in the billing and A/R systems
  • Work closely with facility leadership, admissions, MDS teams, therapy providers, and case management to ensure billing accuracy
  • Communicate payer trends, denial patterns, and process improvement opportunities to leadership
  • Provide professional, timely responses to internal and external partners

Requirements:

  • Education equivalent to a High school diploma, college degree preferred
  • Experience in healthcare revenue cycle operations, billing, cash posting, or A/R
  • Knowledge of UB‑04 billing, SNF/LTC payer rules, and basic accounting principles
  • Strong computer and EMR/billing software skills
  • Excellent attention to detail and organizational skills

Nice to have:

  • 1–2 years of SNF or LTC billing experience
  • Familiarity with Medicare A/B, Medicaid, Managed Care, and PDPM reimbursement
  • Experience with clearinghouses and payer portals
  • Working knowledge of medical terminology and billing codes

Additional Information:

Job Posted:
February 18, 2026

Employment Type:
Fulltime
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