Revenue Cycle Specialist in Irvine, California at Acacia Health

Job Description
Join Acacia Health, a growing family of home health, hospice, and palliative care companies committed to delivering compassionate, high-quality care to patients and families across Southern California. We are focused on clinical excellence, compliance, operational efficiency, and creating a supportive environment where team members can grow and make a meaningful impact.

We are hiring a Revenue Cycle Specialist — a detail-oriented, organized, and collaborative professional who will work predominantly for Acacia Health’s Home Health and Palliative group and support timely and accurate billing, claims follow-up, cash posting, denial management, and accounts receivable activities. This position reports to the RCM Manager.
This is an in-office position located at Acacia Health’s Support Center Office in Irvine, CA 92614.

Be part of a mission-driven healthcare team.
You are a billing professional with strong attention to detail, sound judgment, and a working knowledge of Medicare, Medicaid, and commercial payer requirements. You enjoy resolving billing issues, researching claims, collaborating with clinical and operational teams, and helping ensure revenue is captured accurately and timely.

What You'll Be Doing:
• Prepare, review, and submit claims, Notices of Election, Notices of Termination/Revocation, and other required billing documentation using EDI and manual processes as needed
• Work AR Aging reports, Activity Reports, Cash Posting Reports, Remittance Advice, and Explanation of Benefits to support timely reimbursement
• Monitor claim status and promptly address rejections, returned claims, denials, and payer requests
• Document claim status, collection activity, follow-up actions, and resolution steps in the appropriate billing and AR systems
• Identify root causes of claim rejections, denials, billing holds, and payment delays; coordinate with clinical, intake, authorization, and operations teams to resolve issues
• Prepare and submit payer appeals, reconsiderations, and Provider Dispute Resolution requests when appropriate
• Post cash receipts and analyze cash application transactions, including CARC and RARC codes
• Clear assigned billing queues, billing holds, and follow-up worklists in HCHB or other revenue cycle systems
• Maintain current knowledge of Medicare, Medicaid, managed care, and hospice/home health billing requirements
• Support timely filing requirements for claims, appeals, and corrected claims in accordance with payer rules and contract terms
• Communicate professionally with payers, internal departments, and management regarding claim status, documentation needs, and reimbursement issues
• Assist with month-end revenue cycle reporting, AR clean-up, audits, and special projects as assigned

Qualifications:
• Minimum 2 years of medical billing or revenue cycle experience; home health or hospice billing experience strongly preferred
• Working knowledge of Medicare hospice and/or home health billing guidelines preferred
• Experience with HCHB, EDI claims submission, payer portals, remittance review, denial follow-up, and AR workflows preferred
• Medical Billing and Coding Certification preferred but not required
• Strong proficiency with Microsoft Office, especially Excel, and ability to learn new systems quickly
• Excellent attention to detail, follow-through, organization, and problem-solving skills
• Ability to work independently while collaborating effectively with clinical, intake, authorization, billing, and finance teams
• Reliable attendance and punctuality are required
• Must be available to work Monday through Friday during regular business hours

Why Choose Acacia Health?
• Mission-driven work supporting patients and families through home health, hospice, and palliative care services
• Collaborative finance, revenue cycle, clinical, and operations teams
• Opportunity to support a growing healthcare organization with multiple service lines and locations
• Fast-paced environment where accuracy, accountability, and process improvement matter

Schedule: Full Time, Monday - Friday, in office at the Acacia Health Support Center

Acacia Health offers the following benefits to eligible employees:
• Health, dental, and vision insurance
• Paid time off
• 401(k) plan, if applicable
• Supportive team environment