PCR Specialist

Oasis Health Partners
Miami, FL
Category Hospitality
Remote
Job Description
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
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