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.
Requirements
- High school graduate with prefer Associate’s or Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field
- Minimum two (2) years of experience in healthcare billing, medical records, or revenue cycle, preferably in a Medicare-certified home health agency
- Working 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 requirements
Benefits
- Generous Paid Time Off
- 401k Matching
- Retirement Plan
