What are the responsibilities and job description for the Revenue Cycle Specialist position at Wellpointe Family of Companies?
POSITION OVERVIEW
Title: Revenue Cycle Specialist
Company: Wellpointe Inc. (“Wellpointe”)
Reports to: Corporate Controller
Location: In-Office | Chicago, IL (Up to 5% travel to California)
ABOUT WELLPOINTE
Operating at the intersection of healthcare and real estate, Wellpointe is a leading provider of affordable, boutique-style residential assisted living and related healthcare services that specializes in offering a coordinated and integrated system of care to high-acuity older adults with multiple chronic illnesses, including Alzheimer’s and other dementia. Wellpointe differentiates itself by providing complex care and medical services coordination in a home-like environment, communicating effectively, and making resident and family satisfaction its top priority.
Wellpointe currently operates the Fresno Guest Homes, Cottages at The Colony, Irvine Cottages, and Granny’s Place residential assisted living brands in Fresno, Los Angeles, and the central & south Orange County areas of California.
POSITION SUMMARY
The Revenue Cycle Specialist is responsible for managing critical components of the billing and collections process to ensure timely and accurate reimbursement for services rendered. This role will focus on billing accuracy, claims submission, follow-up, denial management, and payment posting. The ideal candidate has strong attention to detail, knowledge of healthcare reimbursement practices, and thrives in a high-volume, fast-paced environment.
PRIMARY RESPONSIBILITIES
- Prepare and submit claims to private payers, Medicaid, and managed care organizations.
- Monitor accounts receivable and follow up on outstanding claims and patient balances.
- Research and resolve denials or rejections in a timely manner.
- Post payments and adjustments accurately in the billing system.
- Perform routine audits to ensure accurate billing and reimbursement.
- Work with other departments to resolve discrepancies related to resident billing or insurance coverage.
- Assist with month-end revenue reporting and reconciliation.
- Maintain knowledge of payer rules and regulatory updates affecting reimbursement.
- Communicate effectively with families regarding balances, payment plans, and financial policies.
- Support implementation of process improvements that enhance revenue capture and collection timelines.
QUALIFICATIONS
- Bachelor’s degree preferred (Healthcare Administration, Business, Accounting, or related field)
- 3 years of experience in revenue cycle, billing, or medical collections in a healthcare setting
- Experience with Medicaid/Medicare billing and private pay collections
- Knowledge of CPT/HCPCS codes and payer-specific billing guidelines
- Proficiency in billing software and Microsoft Excel
- Familiarity with long-term care, assisted living, or senior housing billing preferred
- Strong communication and interpersonal skills
- Ability to manage time and prioritize in a multi-entity, deadline-driven environment
- High attention to detail and analytical skills
- Experience with NetSuite or other ERP systems a plus
Work Environment & What We Offer:
- Traditional office setting; possible annual/semi-annual travel to CA
- Possibility of a flexible work schedule (Fridays work from home) after 6 months of employment
- Extended hours possible during peak financial periods
- Competitive wages, bonus eligibility, and a comprehensive benefits package
- Opportunities for professional development and career advancement
- A collaborative, mission-driven workplace culture
