PCR Specialist

PCR Specialist organizes, prepares, and submits pre-claim review requests to Palmetto GBA under the CMS Review Choice Demonstration (RCD) program to achieve claim affirmation for Medicare home health reimbursement.RequirementsHigh school graduate with prefer Associate’s or Bachelor’s degree in Health Information Management, Healthcare Administration, or a related fieldMinimum two (2) years of experience in healthcare billing, medical records, or revenue cycle, preferably in a Medicare-certified home health agencyWorking knowledge of Medicare home health regulations including PDGM, OASIS, the Home Health Conditions of Participation, CMS-485 Plan of Care, and Face-to-Face encounter requirementsBenefitsGenerous Paid Time Off401k MatchingRetirement PlanOriginally posted on Himalayas